Provider Demographics
NPI:1043302037
Name:AHMED, MUHAMMAD S (MD)
Entity Type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:S
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2160 FOUNTAIN DR STE 100
Mailing Address - Street 2:
Mailing Address - City:SNELLVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30078-7022
Mailing Address - Country:US
Mailing Address - Phone:678-344-8268
Mailing Address - Fax:888-627-6444
Practice Address - Street 1:2160 FOUNTAIN DR
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-7022
Practice Address - Country:US
Practice Address - Phone:678-344-8268
Practice Address - Fax:888-627-6444
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0616872084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA252451417AMedicaid
GA061687OtherSTATE LICENSE
GA252451417AMedicaid
GABA9762596OtherDEA
GAH95171Medicare UPIN