Provider Demographics
NPI:1881030104
Name:MOHAMED AHMED, RANIA M
Entity Type:Individual
Prefix:
First Name:RANIA
Middle Name:M
Last Name:MOHAMED AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RANIA
Other - Middle Name:M
Other - Last Name:MOHAMED AHMED
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MBBS
Mailing Address - Street 1:1 NORTHWOOD RD
Mailing Address - Street 2:APT 92
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06268-1900
Mailing Address - Country:US
Mailing Address - Phone:860-634-2843
Mailing Address - Fax:860-634-2843
Practice Address - Street 1:1 NORTHWOOD RD
Practice Address - Street 2:APT 92
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06268-1900
Practice Address - Country:US
Practice Address - Phone:860-634-2843
Practice Address - Fax:860-634-2843
Is Sole Proprietor?:No
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program