Provider Demographics
NPI:1831273036
Name:AHMAD, MOHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:
Last Name:AHMAD
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 1:308 MAXWELL RD STE 600
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30009-2068
Mailing Address - Country:US
Mailing Address - Phone:678-205-4322
Mailing Address - Fax:678-205-5131
Practice Address - Street 1:308 MAXWELL RD STE 600
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-2068
Practice Address - Country:US
Practice Address - Phone:678-205-4322
Practice Address - Fax:678-205-5131
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0438412084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000937978AMedicaid
GA043841OtherGEORGIA MEDICAL LICENSE NUMBER
GA26BDGCMedicare ID - Type Unspecified