Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 227525 | MA |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | 23594 | WV |
NPI | 1043238553 |
---|---|
Provider Name | Ahmed Mahmoud |
First Address | Dallas, TX 75373-3946 |
Second Address | Ft Worth, TX 76179 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2006 |
Last Update Date | 16/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
202705274 | GREAT WEST (01) | |
202705274 | UHP (01) | |
2121433 | (05) | MA |
31700 | BCBS (01) | RI |
32024 | NHP (01) | RI |
413611 | BLUE CHIP (01) | RI |
448534 | TUFTS (01) | |
524095 | FALLON (01) | |
611000600 | DOL (01) | MA |
611000601 | DOL (01) | RI |
7956672 | AETNA (01) | |
875014 | CIGNA (01) | |
96501601 | NETWORK (01) | |
96501601 | NETWORK (01) | MA |
AA49931 | HPHC (01) | |
AA49937 | HPHC (01) | |
AM64251 | (05) | RI |
I62428 | (02) | |
J40435 | BCBS (01) | MA |