Individual
MOHAMMAD A. AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
921 E FRANKLIN ST, KENTON, OH 43326-2020
(419) 673-0761
(419) 673-9366
Mailing address
PO BOX 65274, CHARLOTTE, NC 28265-0274
(800) 377-8721
(304) 523-2241
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
34-00-6326-A
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368185
BLUECROSS BLUESHIELD
OH
05
—
2047976
—
OH
Enumeration date
01/25/2006
Last updated
01/20/2016
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