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Individual

MOHAMED AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
30657
TN
207R00000X
Internal Medicine Physician
Primary
16827
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009947825
AL
01
051519958
BCBSA
AL
Enumeration date
08/15/2005
Last updated
05/15/2019
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