Provider Demographics
NPI:1760665897
Name:HEFUNA, AHMED ESSAM (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:ESSAM
Last Name:HEFUNA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7945 MACARTHUR BLVD STE 208
Mailing Address - Street 2:
Mailing Address - City:CABIN JOHN
Mailing Address - State:MD
Mailing Address - Zip Code:20818-1634
Mailing Address - Country:US
Mailing Address - Phone:402-281-7696
Mailing Address - Fax:240-858-4050
Practice Address - Street 1:7945 MACARTHUR BLVD STE 208
Practice Address - Street 2:
Practice Address - City:CABIN JOHN
Practice Address - State:MD
Practice Address - Zip Code:20818-1634
Practice Address - Country:US
Practice Address - Phone:240-281-7696
Practice Address - Fax:240-858-4050
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-12
Last Update Date:2025-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00665762084P0800X
MDD665762084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD774800100Medicaid
MD774800100Medicaid