Organization
HAMID AHMADI MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAMID AHMADI MD (OWNER, MD)
(972) 248-1159
Entity
Organization
Contact information
Practice address
5820 COVEHAVEN DR, DALLAS, TX 75252-5228
(601) 898-4400
(601) 898-4404
Mailing address
PO BOX 795519, DALLAS, TX 75379-5519
(601) 898-4400
(601) 898-4404
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
J4681
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075KH
BLUE CROSS BLUE SHIELD
—
05
—
159996101
—
TX
Enumeration date
12/27/2007
Last updated
02/01/2011
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