Provider Demographics
NPI:1891431078
Name:AHAMMED, MD RIPON (MD)
Entity type:Individual
Prefix:
First Name:MD RIPON
Middle Name:
Last Name:AHAMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 169TH ST BSMT
Mailing Address - Street 2:
Mailing Address - City:JAMAICA
Mailing Address - State:NY
Mailing Address - Zip Code:11432-1918
Mailing Address - Country:US
Mailing Address - Phone:347-458-5408
Mailing Address - Fax:
Practice Address - Street 1:1400 PELHAM PKWY S
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10461-1197
Practice Address - Country:US
Practice Address - Phone:718-918-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-10
Last Update Date:2025-08-21
Deactivation Date:2022-12-21
Deactivation Code:
Reactivation Date:2023-01-19
Provider Licenses
StateLicense IDTaxonomies
NY337614-01207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine