Provider Demographics
NPI:1326488230
Name:AHMED, MOHAMED IBRAHIM (MBBCH)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:IBRAHIM
Last Name:AHMED
Suffix:
Gender:M
Credentials:MBBCH
Other - Prefix:
Other - First Name:MOHAMED
Other - Middle Name:ABDELSALAM
Other - Last Name:IBRAHIM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1612 MICHELLE CT
Mailing Address - Street 2:APT C
Mailing Address - City:FOREST HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21050-2934
Mailing Address - Country:US
Mailing Address - Phone:443-794-4004
Mailing Address - Fax:
Practice Address - Street 1:982055 NEBRASKA MEDICAL CTR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-2055
Practice Address - Country:US
Practice Address - Phone:402-559-7268
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-25
Last Update Date:2013-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7001207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine