Individual
MOHAMMED R AHMEDUDDIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
980 LAWRENCEVILLE HWY, LAWRENCEVILLE, GA 30046-4706
(770) 266-0935
Mailing address
1395 NW 167TH ST, MIAMI, FL 33169-5710
(305) 628-6117
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
E4653
CA
213E00000X
Podiatrist
Primary
POD001431
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200982210
—
IN
Enumeration date
07/03/2008
Last updated
04/20/2026
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