Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | R0681 | TX |
NPI | 1083857551 |
---|---|
Provider Name | Dr. Osama Iqbal Ahmed |
First Address | Houston, TX 77210-4585 |
Second Address | Live Oak, TX 78233-3259 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2009 |
Last Update Date | 04/11/2020 |