Individual
DR. NEELOFUR R AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030-4000
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
01089617A
IN
2085R0001X
Radiation Oncology Physician
Primary
K7236
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00DT11
BLUE CROSS
TX
05
—
037032201
—
TX
05
—
037032205 (MDACC)
—
TX
01
—
760377143
TAX IDENTIFICATION NUMBER
TX
01
—
8GL355
BCBS (MDACC)
TX
Enumeration date
07/14/2005
Last updated
09/17/2024
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