Basic Information
Provider Information
NPI: 1598950321
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: AHMED
FirstName: ANDALEEB
MiddleName: A
NamePrefix: DR.
NameSuffix:  
Credential: M.B.B.S, M.P.H
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 100 E CARROLL ST
Address2:  
City: SALISBURY
State: MD
PostalCode: 218015422
CountryCode: US
TelephoneNumber: 4105466400
FaxNumber:  
Practice Location
Address1: LAHEY HOSPITAL AND MEDICAL CENTER
Address2: 41 MALL ROAD
City: BURLINGTON
State: MA
PostalCode: 01805
CountryCode: US
TelephoneNumber: 7817448000
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/14/2007
LastUpdateDate: 10/01/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X273489MAN Allopathic & Osteopathic PhysiciansAnesthesiology 
207LC0200X273489MAN Allopathic & Osteopathic PhysiciansAnesthesiologyCritical Care Medicine
207R00000XMD442389PAN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XD0075507MDN Allopathic & Osteopathic PhysiciansHospitalist 
207L00000XD0075507MDY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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