Healthcare Provider Details

I. General information

NPI: 1427618511
Provider Name (Legal Business Name): AHMED MOHAMED F SEDEEK MBBCH, MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2019
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 1ST AVE STE 9V
NEW YORK NY
10016-6402
US

IV. Provider business mailing address

700 HICKSVILLE RD
BETHPAGE NY
11714-3471
US

V. Phone/Fax

Practice location:
  • Phone: 646-501-0197
  • Fax: 212-263-2042
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberPENDING
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: