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Individual

DR. MOHAMMAD AHMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
121 SAINT LUKES CENTER DR, SUITE 506, CHESTERFIELD, MO 63017-3509
(314) 576-8102
(314) 576-8122
Mailing address
121 SAINT LUKES CENTER DR, SUITE 506, CHESTERFIELD, MO 63017-3509
(314) 576-8102
(314) 576-8122

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
100874
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00249011
RAILROAD MEDICARE
MO
Enumeration date
08/16/2005
Last updated
11/15/2011
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