Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 308368 | NY |
N | 208600000X | Surgeon | 308368 | NY |
N | 2086X0206X | Surgical Oncologist | 308368 | NY |
Y | 208G00000X | Cardiothoracic Vascular Surgeon | 308368 | NY |
NPI | 1235800178 |
---|---|
Provider Name | Dr. Mohamed Mohamed Rahouma Ahmed |
First Address | New York, NY 10065-4870 |
Second Address | New York, NY 10065-4870 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/09/2021 |
Last Update Date | 21/09/2021 |