Basic Information
| Provider Information | |||||||||
| NPI: | 1104866045 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMED | ||||||||
| FirstName: | SOHAIL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9101 LBJ FREEWAY, STE 710 DALLAS, TX 75273 | ||||||||
| Address2: | 9101 LBJ FREEWAY, STE 710 | ||||||||
| City: | DALLAS | ||||||||
| State: | TX | ||||||||
| PostalCode: | 752431912 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9727925700 | ||||||||
| FaxNumber: | 2145061170 | ||||||||
| Practice Location | |||||||||
| Address1: | 2241 PEGGY LN STE E | ||||||||
| Address2: | |||||||||
| City: | GARLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750425709 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9724941155 | ||||||||
| FaxNumber: | 9724946572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/08/2006 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | P5319 | TX | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RI0200X | P5319 | TX | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Infectious Disease |
ID Information
| ID | Type | State | Issuer | Description | P5319 | 01 | TX | MEDICAL LICENSE | OTHER | 207RI0200X | 01 | TX | TAXONOMY | OTHER |