Provider Demographics
NPI:1407694821
Name:MOHAMED, AMR MOHAMED AHMED (MD)
Entity type:Individual
Prefix:DR
First Name:AMR
Middle Name:MOHAMED AHMED
Last Name:MOHAMED
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 1:733 OCEAN PKWY APT 3A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11230-2390
Mailing Address - Country:US
Mailing Address - Phone:929-271-4510
Mailing Address - Fax:
Practice Address - Street 1:733 OCEAN PKWY APT 3A
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-2390
Practice Address - Country:US
Practice Address - Phone:929-271-4510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-18
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program