Basic Information
| Provider Information | |||||||||
| NPI: | 1386223733 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZAGHW | ||||||||
| FirstName: | AHMED | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1800 NW 10TH AVE FL 33136 | ||||||||
| Address2: | |||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 331361018 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055851191 | ||||||||
| FaxNumber: | 3055456195 | ||||||||
| Practice Location | |||||||||
| Address1: | 1611 NW 12 AVENUE MIAMI, FL 33136-1096 | ||||||||
| Address2: | M-820 - RYDER TRAUMA CENTER (T-215) | ||||||||
| City: | MIAMI | ||||||||
| State: | FL | ||||||||
| PostalCode: | 33136 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3055851191 | ||||||||
| FaxNumber: | 3055456195 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/05/2021 | ||||||||
| LastUpdateDate: | 05/25/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 05/25/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | FL | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.