Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 264641 | NY |
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 264641 | NY |
NPI | 1780818609 |
---|---|
Provider Name | Dr. Mohamed Abdelmegeed Abdella Ahmed |
First Address | Astoria, NY 11102-3239 |
Second Address | Astoria, NY 11102-3239 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2009 |
Last Update Date | 01/05/2017 |