Individual
DR. MAHTAB UDDIN AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1230 E RUSHOLME ST STE 301, DAVENPORT, IA 52803-2400
(563) 421-8361
(563) 421-8369
Mailing address
1230 E RUSHOLME ST STE 301, DAVENPORT, IA 52803-2400
(563) 421-8361
(563) 421-8369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35067724
OH
207QB0002X
Obesity Medicine (Family Medicine) Physician
Primary
MD-48052
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0177795
—
OH
Enumeration date
03/23/2006
Last updated
08/19/2021
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