Provider Demographics
NPI:1972181071
Name:ZEDAN, MOHAMED AHMED (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:AHMED
Last Name:ZEDAN
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 1:2451 UNIVERSITY HOSPITAL DR RM 120
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36617-2300
Mailing Address - Country:US
Mailing Address - Phone:251-471-7786
Mailing Address - Fax:251-471-7884
Practice Address - Street 1:2451 UNIVERSITY HOSPITAL DR BLDG ROOM120
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36617-2300
Practice Address - Country:US
Practice Address - Phone:251-471-7786
Practice Address - Fax:251-471-7884
Is Sole Proprietor?:No
Enumeration Date:2021-03-30
Last Update Date:2023-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program