BASHIR AHMED M.D. PLLC NPI 1336552926

NPI Information

  • NPI: 1336552926
  • Provider Name: BASHIR AHMED, M.D. PLLC
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • CLIA Number: 33D1091619
  • Address: 1305 MIDDLE COUNTRY RD
    SUITE #2
    SELDEN, NY
    ZIP 11784
  • Phone: (631) 320-3053

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NPI Details

BASHIR AHMED, M.D. PLLC is a family medicine in Selden, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BASHIR AHMED, M.D. PLLC NPI is 1336552926. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1305 MIDDLE COUNTRY RD
SUITE #2
SELDEN, NY
ZIP 11784-554
Phone: (631) 320-3053

The provider's authorized official is Bashir Ahmed .
The authorized official title is President and has the following contact phone number (631) 320-3053.

The CLIA number assigned to this NPI record is 33D1091619 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/11/2014 and was last updated on 9/23/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2208VP0000XPain MedicinePain MedicineNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
14897P1MEDICARE UPINNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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