Provider Demographics
NPI:1679579726
Name:AHMAD, ALYA ZIA (MD)
Entity type:Individual
Prefix:DR
First Name:ALYA
Middle Name:ZIA
Last Name:AHMAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2012 19TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-1668
Mailing Address - Country:US
Mailing Address - Phone:916-538-6498
Mailing Address - Fax:916-498-2457
Practice Address - Street 1:2012 19TH ST STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95818-1668
Practice Address - Country:US
Practice Address - Phone:916-538-6498
Practice Address - Fax:916-498-2457
Is Sole Proprietor?:No
Enumeration Date:2005-06-23
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC559002084B0040X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2084B0040XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyBehavioral Neurology & Neuropsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX154950303Medicaid
TX154950303Medicaid
TXH96905Medicare UPIN