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NPI Code Detail

MEDICARE: DR. MAHFUZA H AHMED M.D.

MEDICARE: DR. MAHFUZA H AHMED M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician2005013265MO

General Provider Information

NPI Number : 1316992621
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MAHFUZA H AHMED M.D.
Provider Business Mailing Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0000
Fax Number :
Provider Business Practice Location Address
First Line : 2201 SE LOOP 820
Second Line :
City : FORT WORTH
State : TX
Zip : 76119-5863
Country : US
Telephone Number : 817-730-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/24/2006
Last Update Date : 10/25/2022

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