Active NPI
Mushtaque Ahmed MD PSC
Doing business as Mushtaque Ahmed MD
- Internal Medicine Physician
- Ashland, KY
National Provider Identifier
1346209996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 31740
- Legal business name
- MUSHTAQUE AHMED MD PSC
- Doing business as
- Mushtaque Ahmed MD
- Practice address
- 1101 Saint Christopher Dr
Suite 300
Ashland, KY 41101-7087 - Phone
- (606) 834-1188
- Fax
- (606) 834-8828
- NPI assigned
- Mar 22, 2006
- Last updated
- Mar 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mushtaque Ahmed, MD
- Title
- President
- Phone
- (606) 834-1188
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 31740 | KY | Primary |
Addresses
Primary practice location
1101 Saint Christopher Dr
Suite 300
Ashland, KY 41101-7087
Mailing address
PO Box 1930
Ashland, KY 41105-1930
Phone (606) 329-9414
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64317407 | Medicaid | KY |
Other names 1
- Mushtaque Ahmed MD
National Provider Directory
National Provider DirectoryLocations
1101 Saint Christopher Dr
Ste 300
Ashland, KY 41101
Phone (606) 325-1765
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Lexington, KY
- NPI 1578666830
-
- Psychiatry Physician
- Ashland, KY
- NPI 1124033931
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1205971200000",
"number": "1346209996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1930",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411051930",
"telephone_number": "606-329-9414",
"fax_number": "606-327-1776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SAINT CHRISTOPHER DR",
"address_2": "SUITE 300",
"city": "ASHLAND",
"state": "KY",
"postal_code": "411017087",
"telephone_number": "606-834-1188",
"fax_number": "606-834-8828"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUSHTAQUE AHMED MD PSC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-22",
"last_updated": "2008-03-20",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "MUSHTAQUE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "606-834-1188",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "31740",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64317407",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mushtaque Ahmed MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Ashland, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.