Individual
AMMAR MAHMOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Mailing address
1716 LAWRENCE DR STE 103, DE PERE, WI 54115-9108
(920) 632-6800
(920) 632-6806
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125063751
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
85747-20
WI
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD21879
ME
Other
Enumeration date
06/20/2013
Last updated
12/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us