National Provider Identifier

Tariq Jamal Ahmed, MD

Tariq Jamal Ahmed, MD is listed in the NPPES registry with a primary specialty of Adult Medicine Physician in Buffalo, NY and a listed phone number of (716) 875-2904.

NPI 1235627472Buffalo, NYAdult Medicine Physician

Profile Overview

NPI
1235627472
Provider Type
Individual
Primary Specialty
Adult Medicine Physician
Enumeration Date
April 24, 2018
Last Updated
March 31, 2025

Practice Location

  • 155 Lawn Ave
  • Buffalo, NY 14207-1816

Phone: (716) 875-2904

Specialties

  • Adult Medicine Physician (207QA0505X)
  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1235627472
Entity Type
Individual
Last Name
Ahmed
First Name
Tariq
Middle Name
Jamal
Credential
MD
Provider Other Last Name
Jamal
Provider Other First Name
Tariq
Provider Other Middle Name
Ahmed
Provider Other Last Name Type Code
1
Mailing Street Address
155 Lawn Ave
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14207-1816
Mailing Country
US
Mailing Phone
(716) 875-2904
Practice Street Address
155 Lawn Ave
Practice City
Buffalo
Practice State
NY
Practice ZIP Code
14207-1816
Practice Country
US
Practice Phone
(716) 875-2904
Enumeration Date
April 24, 2018
Last Updated
March 31, 2025
Sex
Male
Sole Proprietor
No
Certification Date
March 31, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Adult Medicine Physician (207QA0505X), Student in an Organized Health Care Education/Training Program (390200000X)