Individual
AHMED MOHAMED ELSAYED KASSEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 461-5100
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
15568
ND
207W00000X
Ophthalmology Physician
86415
WI
207W00000X
Ophthalmology Physician
FL052
KY
207W00000X
Ophthalmology Physician
ME172472
FL
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
FL052
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
127375500
—
FL
01
—
A4N6Z
BCBS
FL
Enumeration date
03/31/2016
Last updated
12/07/2025
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