Individual
AHMED MOUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 UNSER BLVD SE, RIO RANCHO, NM 87124-3392
(505) 253-1183
(505) 253-1199
Mailing address
6415 SONRISA PL NE, ALBUQUERQUE, NM 87113-2840
(505) 267-8756
(505) 272-6503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD2024-0338
NM
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
04/25/2019
Last updated
01/18/2025
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