Organization
AHMAD M. MEHDI M.D P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AHAMD M. MEHDI M.D (DR)
(607) 898-5827
Entity
Organization
Contact information
Practice address
100 SYKES ST, GROTON, NY 13073-1231
(607) 898-5827
(607) 898-9726
Mailing address
100 SYKES ST, PO BOX 68, GROTON, NY 13073-1231
(607) 898-5827
(607) 898-9726
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
215330-1
NY
363AM0700X
Medical Physician Assistant
007106-1
NY
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01983962
—
NY
05
—
02055512
—
NY
05
—
02167100
—
NY
Enumeration date
03/06/2007
Last updated
01/16/2020
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