Provider Demographics
NPI:1265939805
Name:AHMED, NISHAT TASNIM (MD)
Entity type:Individual
Prefix:
First Name:NISHAT
Middle Name:TASNIM
Last Name:AHMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 26666
Mailing Address - Street 2:PRESBYTERIAN HEALTHCARE SERVICE
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87125-6666
Mailing Address - Country:US
Mailing Address - Phone:505-272-5580
Mailing Address - Fax:505-272-6385
Practice Address - Street 1:201 CEDAR ST SE STE 5600
Practice Address - Street 2:OBSTETRICS AND GYNEOCOLOGY
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-4920
Practice Address - Country:US
Practice Address - Phone:505-563-6000
Practice Address - Fax:505-563-6060
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NM390200000X
NMMD2024-0842207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJA35615948362911OtherDRIVER'S LICENSE