Provider Demographics
NPI:1841338126
Name:AHMED, MOHAMED S (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:S
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 1:1300 ROLLINGBROOK DR STE 508
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3846
Mailing Address - Country:US
Mailing Address - Phone:281-837-6463
Mailing Address - Fax:281-837-0600
Practice Address - Street 1:1300 ROLLINGBROOK DR STE 508
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3846
Practice Address - Country:US
Practice Address - Phone:281-837-6463
Practice Address - Fax:281-837-6463
Is Sole Proprietor?:No
Enumeration Date:2007-02-01
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL35512084P0800X
NE223262084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX191032501Medicaid
NEH78917Medicare UPIN
TX8F5807Medicare PIN