Ahmed Fahad Lazim, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
3401 N Broad St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(512) 707-2000.
Ahmed Fahad Lazim is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1194341321.
Physician's Profile
Full Name | Ahmed Fahad Lazim |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3401 N Broad St, Philadelphia, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1194341321
- Provider Enumeration Date: 06/23/2020
- Last Update Date: 06/24/2020
Medicare PECOS Information:
- PECOS PAC ID: 0840612552
- Enrollment ID: I20200626000018
Medical Identifiers
Medical identifiers for Ahmed Fahad Lazim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194341321 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MT220369 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ahmed Fahad Lazim is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ahmed Fahad Lazim, 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (215) 707-2000 | Ahmed Fahad Lazim, 3401 N Broad St, Philadelphia, PA 19140-5189 Ph: (512) 707-2000 |
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