Healthcare Provider Details

I. General information

NPI: 1275970501
Provider Name (Legal Business Name): AHMED M SAFA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: AHMED S MAHMOOD MD

II. Dates (important events)

Enumeration Date: 05/28/2013
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 HERRICK ST
BEVERLY MA
01915-1777
US

IV. Provider business mailing address

85 HERRICK ST
BEVERLY MA
01915-1777
US

V. Phone/Fax

Practice location:
  • Phone: 978-927-6850
  • Fax:
Mailing address:
  • Phone: 978-927-6850
  • Fax: 978-524-7917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number283554
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD30064
License Number StateME
# 3
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number38893
License Number StateNH
# 4
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number283554
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: