Asma S. Ahmad, MD, LLC

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

MD24699 Issued in OR

Legal business name

ASMA S. AHMAD, MD, LLC

Practice address

4160 SW Charming Way
Portland, OR 97225-2025

Phone

(503) 539-5537

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Nancy E Wilkins

Title

Admin

Phone

(034) 128-3185

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1649775610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 SW CHARMING WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252025",
            "telephone_number": "503-539-5537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 SW CHARMING WAY",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972252025",
            "telephone_number": "503-539-5537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASMA S. AHMAD, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WILKINS",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "034-128-3185"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "OR",
            "license": "MD24699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 (PERSONAL) NPI",
            "identifier": "13676466500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "MD24699",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.