| Khwaja A Ahmed, MD | |
|
145 Innovation Dr, Jackson, TN 38305-3019 | |
| (731) 422-0213 | |
| (731) 422-0297 |
| Full Name | Khwaja A Ahmed |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 29 Years |
| Location | 145 Innovation Dr, Jackson, Tennessee |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982623864 | NPI | - | NPPES |
| 3000038 | Medicaid | TN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 41816 (Tennessee) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Shea Clinic | 3971525635 | 8 |
| Entity Name | Shea Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568427128 PECOS PAC ID: 3971525635 Enrollment ID: O20090429000705 |
| Mailing Address | Practice Location Address |
|---|---|
| Khwaja A Ahmed, MD Po Box 400, Jackson, TN 38302-0400 Ph: (731) 425-5752 | Khwaja A Ahmed, MD 145 Innovation Dr, Jackson, TN 38305-3019 Ph: (731) 422-0213 |
William A Preston, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 700 W Forest Ave, Ste 300, Jackson, TN 38301 Phone: 731-422-0340 Fax: 731-422-0297 | |
Dr. Karl E Studtmann, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297 | |
Dr. William Keith Wainscott, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 619 Skyline Dr, Jackson, TN 38301 Phone: 731-424-3682 Fax: 731-423-2714 | |
Dr. Robert Douglas Fowler, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 145 Innovation Dr, Jackson, TN 38305 Phone: 731-422-0213 Fax: 731-422-0297 | |
Ronald H Kirkland, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 700 W Forest Ave, Ste 300, Jackson, TN 38301 Phone: 731-422-0340 Fax: 731-422-0297 |