Individual
DR. AHMED MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
(469) 562-4232
(972) 201-9656
Mailing address
613 S HIGHWAY 78 STE 200, WYLIE, TX 75098-5525
(469) 562-4232
(972) 201-9656
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
227525
MA
208100000X
Physical Medicine & Rehabilitation Physician
23594
WV
208VP0014X
Interventional Pain Medicine Physician
Primary
Q8294
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202705274
UHP
—
05
—
2121433
—
MA
01
—
31700
BCBS
RI
01
—
32024
NHP
RI
01
—
413611
BLUE CHIP
RI
01
—
448534
TUFTS
—
01
—
524095
FALLON
—
01
—
611000600
DOL
MA
01
—
611000601
DOL
RI
01
—
7956672
AETNA
—
01
—
875014
CIGNA
—
01
—
96501601
NETWORK
MA
01
—
96501601
NETWORK
—
01
—
AA49931
HPHC
—
01
—
AA49937
HPHC
—
05
—
AM64251
—
RI
01
—
J40435
BCBS
MA
Enumeration date
07/17/2006
Last updated
12/19/2022
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