Individual
DR. MAHMOUD YAHYA AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3530
(352) 273-5670
(352) 273-5683
Mailing address
PO BOX 100108, GAINESVILLE, FL 32610-0108
(352) 273-5670
(352) 273-5683
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
ME135963
FL
2086S0102X
Surgical Critical Care Physician
Primary
ME135963
FL
2086S0127X
Trauma Surgery Physician
39010
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201092630A
—
OK
Enumeration date
07/29/2015
Last updated
09/19/2023
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