Provider Demographics
NPI:1518012251
Name:MOHIUDDIN, AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:MOHIUDDIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:411 WAVERLEY OAKS RD
Mailing Address - Street 2:SUITE 333
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-8448
Mailing Address - Country:US
Mailing Address - Phone:781-894-8858
Mailing Address - Fax:781-894-8856
Practice Address - Street 1:411 WAVERLEY OAKS RD
Practice Address - Street 2:SUITE 333
Practice Address - City:WALTHAM
Practice Address - State:MA
Practice Address - Zip Code:02452-8448
Practice Address - Country:US
Practice Address - Phone:781-894-8858
Practice Address - Fax:781-894-8856
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2010-09-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA32585207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease