Individual
MOHSINA AHMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
900 MAIN ST STE 400, PEORIA, IL 61602
(309) 689-6008
Mailing address
900 MAIN ST STE 400, PEORIA, IL 61602-1060
(309) 689-6008
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036144078
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036144078
LICENSE
IL
Enumeration date
04/08/2013
Last updated
07/23/2018
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