Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | 0116033646 | VA |
NPI | 1003443680 |
---|---|
Provider Name | Ahmed Abdeltwab Abdou Ahmed |
First Address | Solon, OH 44139-1972 |
Second Address | Washington, DC 20010-2916 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2020 |
Last Update Date | 24/03/2020 |