Individual
AHMED TAMIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3946 MINNESOTA AVE NE, WASHINGTON, DC 20019
(202) 397-1033
(202) 397-2104
Mailing address
2221 E BIJOU ST STE 100, COLORADO SPRINGS, CO 80909-8009
(719) 576-1850
(719) 955-3470
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
16697
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
34757
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16697
MD DENTAL LICENSE
MD
01
—
DEN1001967
DENTAL LICENSE
DC
Enumeration date
04/09/2012
Last updated
07/16/2019
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