Individual
MOHAMMED RIAZ AHMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 288-3191
Mailing address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 579-5463
(601) 579-5240
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
18449
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938623
—
AL
05
—
05589211
—
MS
05
—
1501255
—
LA
01
—
2399165
UNITED HEALTHCARE
MS
01
—
640507572XG
AMERICAN ADMIN GROUP
MS
01
—
P00128951
RAILROAD MEDICARE
—
Enumeration date
07/27/2006
Last updated
02/05/2015
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