Individual
DR. ALAA MOHAMED AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2601 W MAIN ST, CARBONDALE, IL 62901-1031
(618) 549-5361
(618) 351-4878
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 457-5200
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036155707
IL
2084P0804X
Child & Adolescent Psychiatry Physician
V9543
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
505926315
—
TX
Enumeration date
07/11/2017
Last updated
03/16/2026
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