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Individual

TASNEEM F AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.O.

Contact information

Practice address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230
Mailing address
1325 PENNSYLVANIA AVE STE 890, FORT WORTH, TX 76104-2145
(817) 250-7230

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34008793
OH
207RG0100X
Gastroenterology Physician
Primary
N7771
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2676055
OH
01
P00344673
MEDICARE RAILROAD
OH
Enumeration date
08/05/2006
Last updated
11/17/2021
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