Basic Information
Provider Information
NPI: 1225561392
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: BILAAL
MiddleName: S
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1251B SARATOGA AVE NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200181025
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Practice Location
Address1: 1251B SARATOGA AVE NE
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200181025
CountryCode: US
TelephoneNumber: 2024694699
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/06/2017
LastUpdateDate: 09/09/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/09/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XA172687CAN Allopathic & Osteopathic PhysiciansInternal Medicine 
390200000X  N Student, Health CareStudent in an Organized Health Care Education/Training Program 
207R00000XMD210001430DCY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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