Provider Demographics
NPI:1700950383
Name:AHMAD, SYED MEHDI (MD)
Entity type:Individual
Prefix:
First Name:SYED
Middle Name:MEHDI
Last Name:AHMAD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:SYED
Other - Middle Name:MEHDI
Other - Last Name:AHMAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7547 YAMINI DR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-3259
Mailing Address - Country:US
Mailing Address - Phone:212-750-4833
Mailing Address - Fax:212-750-4833
Practice Address - Street 1:3950 W PLANO PKWY
Practice Address - Street 2:STE A
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-7807
Practice Address - Country:US
Practice Address - Phone:972-636-1045
Practice Address - Fax:972-674-2930
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2021-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY220760-1174400000X
TXM6003207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
035AR1OtherMEDICARE ID-TYPE UNSPECIFIED
NY02223816Medicaid
NY02223816Medicaid