Ahmed Clinic

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD046924L Issued in PA

Legal business name

AHMED CLINIC

Practice address

102 Desmond St
Sayre, PA 18840-2002

Phone

(570) 882-9939

Fax

(570) 882-1320

NPI assigned

Jan 17, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ibrahim Ahmed, M.D.

Title

Owner

Phone

(570) 882-9939

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1265584569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402002",
            "telephone_number": "570-882-9939",
            "fax_number": "570-882-1320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 DESMOND ST",
            "city": "SAYRE",
            "state": "PA",
            "postal_code": "188402002",
            "telephone_number": "570-882-9939",
            "fax_number": "570-882-1320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-882-9939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD046924L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ayush Adhikari
• Akriti Agrawal
• Vineet Agrawal, M.D.
• Cristina Aguilar, MD
• Katie Ahart, OTR/L
• Egede J Aitsebaomo, MD
• Shamima Akhter, PSY.D
• Muhammad Sarmad Aleem, M.D.
• Sneha Rachel Alexander
• Kathleen Mae Palma Alfonso, M.D.

• All providers in Sayre, PA
• Pediatrics Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.