Healthcare Provider Details

I. General information

NPI: 1609942804
Provider Name (Legal Business Name): MK & SS AHMED MDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 W WOOSTER STE STE 216
BOWLING GREEN OH
43402
US

IV. Provider business mailing address

960 W WOOSTER STE STE 216
BOWLING GREEN OH
43402
US

V. Phone/Fax

Practice location:
  • Phone: 419-354-3123
  • Fax: 419-352-3939
Mailing address:
  • Phone: 419-354-3123
  • Fax: 419-352-3939

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. MOHAMMED K AHMED
Title or Position: OWNER
Credential: MD
Phone: 419-354-3123