Provider Demographics
NPI:1770575912
Name:AHMED, MOHAMMED Y (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:Y
Last Name:AHMED
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 1:2409 CHERRY ST
Mailing Address - Street 2:MOB 303
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-4674
Mailing Address - Fax:419-251-3862
Practice Address - Street 1:2409 CHERRY ST
Practice Address - Street 2:MOB 303
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2625
Practice Address - Country:US
Practice Address - Phone:419-251-4674
Practice Address - Fax:419-251-3862
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-15
Last Update Date:2009-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-03-3344A174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104756380OtherMICHIGAN MEDICAID
2938137001OtherCIGNA
00053OtherPARAMOUNT
341293795OtherNATIONWIDE
OH00209840OtherRAILROAD MEDICARE
1004356OtherAETNA
000000129648OtherANTHEM
OH0188087Medicaid
1701394OtherUNITED HEALTH CARE
600569OtherBUCKEYE COMMUNITY HEALTH PLAN
600596OtherFAMILY HEALTH PLAN
00053OtherPARAMOUNT
1004356OtherAETNA
OH00209840OtherRAILROAD MEDICARE
600596OtherFAMILY HEALTH PLAN
341293795OtherNATIONWIDE
OHA14768Medicare UPIN