Provider Demographics
NPI:1235800178
Name:AHMED, MOHAMED MOHAMED RAHOUMA (MD, MSC)
Entity Type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:MOHAMED RAHOUMA
Last Name:AHMED
Suffix:
Gender:M
Credentials:MD, MSC
Other - Prefix:DR
Other - First Name:MOHAMED
Other - Middle Name:MOHAMED
Other - Last Name:RAHOUMA AHMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD, MSC
Mailing Address - Street 1:525 E 68TH ST # 110
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-4870
Mailing Address - Country:US
Mailing Address - Phone:212-746-9440
Mailing Address - Fax:
Practice Address - Street 1:525 E 68TH ST # 110
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-4870
Practice Address - Country:US
Practice Address - Phone:212-746-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-21
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY308368208600000X, 208G00000X, 2086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology