Provider Demographics
NPI:1093763930
Name:AHMED, MOHAMMED M (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:M
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:3020 N MCCORD RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-1702
Mailing Address - Country:US
Mailing Address - Phone:419-517-1115
Mailing Address - Fax:419-517-1109
Practice Address - Street 1:3020 N MCCORD RD
Practice Address - Street 2:SUITE 102
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-1702
Practice Address - Country:US
Practice Address - Phone:419-517-1115
Practice Address - Fax:419-517-1109
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2015-06-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35087642207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2670971Medicaid
OH4187225Medicare PIN
G37115Medicare UPIN