Individual
EBTIHAL AHMED MOHAMED AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
103129
WI
208000000X
Pediatrics Physician
2020-00654
NC
208000000X
Pediatrics Physician
Primary
75936
MN
Other
Enumeration date
07/29/2017
Last updated
10/17/2025
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