Individual
MOHAMMED T. AHSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
385 W. MAIN STREET, AVON, CT 06001
(860) 777-1280
Mailing address
385 W. MAIN STREET, AVON, CT 06001
(860) 777-1280
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
7045
CT
Other
Enumeration date
11/15/2024
Last updated
08/20/2025
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