Individual
AMIRA M MOHAMED AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1000 ASYLUM AVENUE, HARTFORD, CT 06105
(860) 714-4332
(860) 714-8358
Mailing address
1000 ASYLUM AVENUE, GENGRAS BUILDING, SUITE, HARTFORD, CT 06105
(860) 714-4332
(860) 714-8358
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
054652
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017899950001
—
PA
01
—
848902
HIGHMARK
PA
Enumeration date
09/21/2005
Last updated
09/15/2022
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