Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KHADIGA AHMED, DO
Active Sole ProprietorKHADIGA AHMED, DO is a Family Medicine healthcare provider located in LAKE RONKONKOMA, New York. NPI 1053817296 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LAKE RONKONKOMA, NY
Registration Details
- NPI Number
- 1053817296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 5, 2018 (8.2122287093284 yrs)
- Last Updated
- Sep 12, 2025
- Licenses
-
329788 (NY)288031 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
640 HAWKINS AVELAKE RONKONKOMA, NY, 117792324Browse NY providers · Browse ZIP 11779
- Phone
- 6314710100
- Fax
- 6314711000
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in LAKE RONKONKOMA, NY
| Name | Credential | NPI |
|---|---|---|
| MANUEL R ROSALES | MD | 1487656740 |
| JACK Z NUSSBAUM | MD | 1346242690 |
| DR. DAVID I HAUER | MD | 1518969880 |
| ROBERT FREDERICK MAZZEO | MD | 1043240534 |
| DR. BHANUMATHY VINAYAGASUNDARAM | M.D. | 1841201282 |
| ROBERT ANDREW TUFANO | D.O. | 1851442966 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.