Provider Demographics
NPI:1922232362
Name:MOHAMED, AHMED ABDALLA
Entity Type:Individual
Prefix:
First Name:AHMED
Middle Name:ABDALLA
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 30632
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94604-6732
Mailing Address - Country:US
Mailing Address - Phone:510-301-9932
Mailing Address - Fax:
Practice Address - Street 1:5016 BRIDGEPOINTE PL
Practice Address - Street 2:9
Practice Address - City:UNION CITY
Practice Address - State:CA
Practice Address - Zip Code:94587-5567
Practice Address - Country:US
Practice Address - Phone:510-301-9932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-13
Last Update Date:2009-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)