Individual
MOHAMED GAAFAR AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3425 S. PRIEST DR., # 20, TEMPE, AZ 85282
(602) 435-5506
Mailing address
3425 S. PRIEST DR., # 20, TEMPE, AZ 85282
(602) 435-5506
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
D03824309
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28
NON-EMERGENCY MEDICAL TRANSPORTATION
AZ
Enumeration date
01/18/2011
Last updated
01/18/2011
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