Provider Demographics
NPI:1457457780
Name:MOHAMED, AHMED H (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:H
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2251 N RAMPART BLVD
Mailing Address - Street 2:#2527
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-7640
Mailing Address - Country:US
Mailing Address - Phone:702-395-0006
Mailing Address - Fax:702-657-9466
Practice Address - Street 1:2010 GOLDRING AVE
Practice Address - Street 2:STE 308
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4002
Practice Address - Country:US
Practice Address - Phone:702-395-0006
Practice Address - Fax:702-657-9466
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2013-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV11729207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVDM839ZMedicare PIN