Provider Demographics
NPI:1881386498
Name:AL-QAOUD, AHMAD KHALED MAHMOOD (MD)
Entity type:Individual
Prefix:MR
First Name:AHMAD
Middle Name:KHALED MAHMOOD
Last Name:AL-QAOUD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:AHMAD
Other - Middle Name:KHALED MAHMOOD
Other - Last Name:AL-QAOUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:238 EAST 106TH STREET, 5B APARTMENT
Mailing Address - Street 2:5B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029
Mailing Address - Country:US
Mailing Address - Phone:347-954-8644
Mailing Address - Fax:
Practice Address - Street 1:1901 FIRST AVENUE NEW YORK NY 10029
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029
Practice Address - Country:US
Practice Address - Phone:212-423-6271
Practice Address - Fax:646-672-3034
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2024-07-19
Deactivation Date:2023-12-26
Deactivation Code:
Reactivation Date:2024-07-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program