# AHMAD M. MEHDI M.D P.C

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578693917
- **Authorized official:** DR. AHAMD M. MEHDI M.D (DR)
- **Authorized official phone:** (607) 898-5827

## Contact information

- **Practice address:** 100 SYKES ST, GROTON, NY 13073-1231
- **Practice address phone:** (607) 898-5827
- **Practice address fax:** (607) 898-9726
- **Mailing address:** 100 SYKES ST, PO BOX 68, GROTON, NY 13073-1231
- **Mailing address phone:** (607) 898-5827
- **Mailing address fax:** (607) 898-9726

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 215330-1 | NY | Yes |
| 363AM0700X | Medical Physician Assistant | 007106-1 | NY | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 01/16/2020