Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RR0500X | Rheumatology | 35087642 | OH |
NPI | 1093763930 |
---|---|
Provider Name | Dr. Mohammed M Ahmed |
First Address | Toledo, OH 43615-1702 |
Second Address | Toledo, OH 43615-1702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 05/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2670971 | (05) | OH |
G37115 | (02) |