Healthcare Provider Details

I. General information

NPI: 1013188697
Provider Name (Legal Business Name): ARTHRITIS AND RHEUMATISM CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/21/2008
Last Update Date: 06/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3020 N MCCORD RD SUITE 102
TOLEDO OH
43615-1701
US

IV. Provider business mailing address

3020 N MCCORD RD SUITE 102
TOLEDO OH
43615-1701
US

V. Phone/Fax

Practice location:
  • Phone: 419-517-1115
  • Fax: 419-517-1109
Mailing address:
  • Phone: 419-517-1115
  • Fax: 419-517-1109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35088828
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number35087642
License Number StateOH

VIII. Authorized Official

Name: DR. MOHAMMED M AHMED
Title or Position: PRESIDENT
Credential: MD
Phone: 440-234-8833