MEDICARE: DR. MOHAMMED AHMED DO

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
1	207R00000X	Internal Medicine Physician	OS14857	FL
2	207R00000X	Internal Medicine Physician	T0690	TX

General Provider Information

NPI Number	:	1770943698
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMED AHMED DO

Provider Business Mailing Address
First Line	:	931 SW 64TH PKWY
Second Line	:
City	:	PEMBROKE PINES
State	:	FL
Zip	:	33023-1669
Country	:	US
Telephone Number	:	954-756-2618
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 W 68TH ST STE 202
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33016-1801
Country	:	US
Telephone Number	:	305-364-2107
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/04/2016
Last Update Date	:	02/26/2026

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Directions to “ DR. MOHAMMED AHMED DO” Practice Location

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