Healthcare Provider Details

I. General information

NPI: 1457618399
Provider Name (Legal Business Name): MOSTAFA MAHMOUD AHMED MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2012
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8401 CONNECTICUT AVE STE 1000
CHEVY CHASE MD
20815-5841
US

IV. Provider business mailing address

8401 CONNECTICUT AVE STE 1000
CHEVY CHASE MD
20815-5841
US

V. Phone/Fax

Practice location:
  • Phone: 240-770-2251
  • Fax: 240-770-2253
Mailing address:
  • Phone: 240-770-2251
  • Fax: 240-770-2253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License NumberD91469
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: