NPI 1619744315 · live from the CMS NPI Registry
Bola G Ahmed
Nurse Practitioner in Washington, DC. National Provider Identifier 1619744315, active.
NPI record
| NPI | 1619744315 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 4130 Hunt Pl Ne, Washington, DC 20019 |
| Practice phone | 202-388-4300 |
| Mailing address | 3620 Jeff Rd, Glenarden, MD 20774 |
| Enumerated | December 4, 2023 |
| Last updated | August 28, 2026 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | NP500015321 (DC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.