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Individual

DR. SHEIKH EJAZ AHMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1710 W 25TH ST, HOUSTON, TX 77008
(716) 861-6758
(713) 861-2102
Mailing address
1710 W 25TH ST, HOUSTON, TX 77008-1414
(716) 861-6758
(713) 861-2102

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H6759
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00K99G
BLUE CROSS BLUE SHEILD
TX
05
128483803
TX
01
40080493
DPS
TX
01
H6759
TEXAS STATE BOARD OF MEDI
TX
Enumeration date
10/24/2006
Last updated
03/07/2023
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