Individual
DR. SHAIK MOHD L AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 WOODBINE LANE, DANVILLE, PA 17822-5208
(570) 271-6621
(570) 271-5655
Mailing address
100 N ACADEMY AVE, CREDENTIALS DEPT, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
MD426544
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013184930001
—
PA
Enumeration date
02/14/2006
Last updated
06/19/2020
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