Provider Demographics
NPI:1598211252
Name:MOHAMMED ALY RAHMA, AHMED (MD)
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:
Last Name:MOHAMMED ALY RAHMA
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 1:601 N. 30TH ST. - CU DEPARTMENT OF INTERNAL MEDICINE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2128
Mailing Address - Country:US
Mailing Address - Phone:402-717-0800
Mailing Address - Fax:402-280-1237
Practice Address - Street 1:601 N. 30TH ST. - CU DEPARTMENT OF INTERNAL MEDICINE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2128
Practice Address - Country:US
Practice Address - Phone:402-717-0800
Practice Address - Fax:402-280-1237
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE7833207R00000X
NMMD2019-0056207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine