Healthcare Provider Details

I. General information

NPI: 1447792304
Provider Name (Legal Business Name): MARIA G AHMED
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: AHMED M AHMED

II. Dates (important events)

Enumeration Date: 11/09/2016
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 W 22ND ST
YUMA AZ
85364-6521
US

IV. Provider business mailing address

921 W UNIVERSITY DR UNIT 1159
MESA AZ
85201-5549
US

V. Phone/Fax

Practice location:
  • Phone: 928-446-0707
  • Fax:
Mailing address:
  • Phone: 928-210-8685
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code385HR2055X
TaxonomyChild Mental Illness Respite Care
License Number7393320
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code253J00000X
TaxonomyFoster Care Agency
License Number7393320
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: