Provider Demographics
NPI:1134392152
Name:GHAFOORI, AHMAD PAIMAN (MD)
Entity type:Individual
Prefix:DR
First Name:AHMAD
Middle Name:PAIMAN
Last Name:GHAFOORI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11111 RESEARCH BLVD STE LL2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-5200
Mailing Address - Country:US
Mailing Address - Phone:512-518-4673
Mailing Address - Fax:512-334-2702
Practice Address - Street 1:11111 RESEARCH BLVD STE LL2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-5200
Practice Address - Country:US
Practice Address - Phone:512-518-4673
Practice Address - Fax:512-334-2702
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1347082085R0001X
TXFG18658512085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX286606301Medicaid
TX272038YN56Medicare PIN