Provider Demographics
NPI:1568726420
Name:AHMED, MOHAMMED N (MED)
Entity Type:Individual
Prefix:MR
First Name:MOHAMMED
Middle Name:N
Last Name:AHMED
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 ABERDEEN RD
Mailing Address - Street 2:
Mailing Address - City:NEW HYDE PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11040-2139
Mailing Address - Country:US
Mailing Address - Phone:516-528-8003
Mailing Address - Fax:
Practice Address - Street 1:35 ABERDEEN RD
Practice Address - Street 2:
Practice Address - City:NEW HYDE PARK
Practice Address - State:NY
Practice Address - Zip Code:11040-2139
Practice Address - Country:US
Practice Address - Phone:516-528-8003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-26
Last Update Date:2012-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist