Provider Demographics
NPI:1548300916
Name:AHMED, MAQBOOL (MD)
Entity type:Individual
Prefix:
First Name:MAQBOOL
Middle Name:
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:298 CLEAR SKY CT
Mailing Address - Street 2:SUITE F
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-5685
Mailing Address - Country:US
Mailing Address - Phone:931-245-0620
Mailing Address - Fax:931-245-0624
Practice Address - Street 1:298 CLEAR SKY CT
Practice Address - Street 2:SUITE F
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37043-5685
Practice Address - Country:US
Practice Address - Phone:931-245-0620
Practice Address - Fax:931-245-0624
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2010-06-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TNMD00000457412084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology