Healthcare Provider Details

I. General information

NPI: 1013534197
Provider Name (Legal Business Name): MOHAMED ATEF MOHAMED ELMAHDY HAMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 N ORANGE BLOSSOM TRL STE 204
KISSIMMEE FL
34744-2307
US

IV. Provider business mailing address

2400 N ORANGE BLOSSOM TRL STE 204
KISSIMMEE FL
34744-2307
US

V. Phone/Fax

Practice location:
  • Phone: 407-932-6226
  • Fax:
Mailing address:
  • Phone: 407-932-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME178021
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: