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Individual

DR. MOSTAFA MAHMOUD AHMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
818 W DIAMOND AVE STE 120, GAITHERSBURG, MD 20878-1450
(301) 869-7204
Mailing address
818 W DIAMOND AVE STE 120, GAITHERSBURG, MD 20878-1450
(301) 869-7204

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
D91469
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
S3620
TEXAS MEDICAL LICENSE
TX
Enumeration date
04/17/2012
Last updated
07/07/2022
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