Individual
DR. BASHIR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1305 MIDDLE COUNTRY RD, SUITE #2, SELDEN, NY 11784-2554
(631) 320-3054
Mailing address
1305 MIDDLE COUNTRY RD, SUITE #2, SELDEN, NY 11784-2554
(631) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
241853
NY
208VP0000X
Pain Medicine Physician
241853
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02841376
—
NY
01
—
241853-1W
WORKERS' COMP
NY
Enumeration date
11/07/2006
Last updated
02/29/2016
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