Provider Demographics
NPI:1487220810
Name:DURRANI, AHMED MASHOOD KHAN (MD)
Entity Type:Individual
Prefix:MR
First Name:AHMED MASHOOD KHAN
Middle Name:
Last Name:DURRANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MERCY HEALTH 2200 JEFFERSON AEC
Mailing Address - Street 2:FAMILY MEDICINE RESIDENCY OFFICES
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:45604
Mailing Address - Country:US
Mailing Address - Phone:419-251-1859
Mailing Address - Fax:419-242-9806
Practice Address - Street 1:MERCY HEALTH 2200 JEFFERSON AEC
Practice Address - Street 2:FAMILY MEDICINE RESIDENCY OFFICES
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:45604
Practice Address - Country:US
Practice Address - Phone:419-251-1859
Practice Address - Fax:419-242-9806
Is Sole Proprietor?:No
Enumeration Date:2021-05-27
Last Update Date:2022-12-07
Deactivation Date:2022-11-25
Deactivation Code:
Reactivation Date:2022-12-07
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program