Provider Demographics
NPI:1922743376
Name:AHMED, MASHFIA
Entity Type:Individual
Prefix:
First Name:MASHFIA
Middle Name:
Last Name:AHMED
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 WAYWARD WIND DR SW
Mailing Address - Street 2:
Mailing Address - City:LILBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30047-6436
Mailing Address - Country:US
Mailing Address - Phone:404-838-1824
Mailing Address - Fax:
Practice Address - Street 1:5051 PEACHTREE CORNERS CIR STE 200
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-2748
Practice Address - Country:US
Practice Address - Phone:470-839-5917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-30
Last Update Date:2022-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker