Basic Information
Provider Information
NPI: 1336870526
EntityType: 2
ReplacementNPI:  
OrganizationName: ADNAN AHMED MD PLLC
LastName:  
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Credential:  
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Mailing Information
Address1: 2306 HOLLAND AVE
Address2:  
City: EDINBURG
State: TX
PostalCode: 785390116
CountryCode: US
TelephoneNumber: 7039648199
FaxNumber: 7036496188
Practice Location
Address1: 5019 S MCCOLL RD
Address2:  
City: EDINBURG
State: TX
PostalCode: 785398080
CountryCode: US
TelephoneNumber: 9563225765
FaxNumber: 9566031240
Other Information
ProviderEnumerationDate: 06/20/2022
LastUpdateDate: 10/06/2022
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: AHMED
AuthorizedOfficialFirstName: ADNAN
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 7039648199
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate: 10/06/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208000000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 

No ID Information.


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