Healthcare Provider Details

I. General information

NPI: 1952046278
Provider Name (Legal Business Name): ALAA AHMED MD, PHD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2022
Last Update Date: 08/14/2025
Certification Date: 08/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

110 HOSPITAL RD STE 111
PRINCE FREDERICK MD
20678-4039
US

IV. Provider business mailing address

110 HOSPITAL RD STE 111
PRINCE FREDERICK MD
20678-4039
US

V. Phone/Fax

Practice location:
  • Phone: 410-535-4488
  • Fax: 443-771-8114
Mailing address:
  • Phone: 410-535-4488
  • Fax: 443-771-8114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083B0002X
TaxonomyObesity Medicine (Preventive Medicine) Physician
License NumberD0100849
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberD0100849
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: