Individual
MEJDI AHMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
775 PARK AVE, SUITE 115, HUNTINGTON, NY 11743-3976
(631) 659-4150
(631) 659-4199
Mailing address
775 PARK AVE, SUITE 115, HUNTINGTON, NY 11743-3976
(631) 659-4150
(631) 659-4199
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
204245-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015AP2
BLUE CROSS/ BLUE SHIELD
NY
05
—
02199544
—
NY
01
—
2595081
GHI
NY
01
—
4C0571
HEALTHNET
NY
01
—
P2470796
OXFORD
NY
Enumeration date
08/08/2006
Last updated
01/15/2013
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