Individual
DR. MOHANNED HASSAN MOHAMMED AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W 40TH AVE, PINE BLUFF, AR 71603-6301
(870) 541-7100
(870) 541-7204
Mailing address
4166 SNAPFINGER WOODS DR, DECATUR, GA 30035-3411
(404) 289-6199
(404) 289-2446
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
E-11695
AR
207Q00000X
Family Medicine Physician
Primary
E-11695
AR
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
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