# DR. MOHANNED HASSAN MOHAMMED AHMED

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053725499
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | E-11695 | AR | — |
| 207Q00000X | Family Medicine Physician | E-11695 | AR | Yes |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician | 4301104828 | MI | — |
| 208D00000X | General Practice Physician | 074885 | GA | — |

## Other

- **Enumeration date:** 06/13/2014
- **Last updated:** 07/23/2019