Healthcare Provider Details

I. General information

NPI: 1346104668
Provider Name (Legal Business Name): MUHAMMAD A ABDELHAMEED
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2150 W CENTRAL AVE
TOLEDO OH
43606-3834
US

IV. Provider business mailing address

2150 W CENTRAL AVE
TOLEDO OH
43606-3834
US

V. Phone/Fax

Practice location:
  • Phone: 419-291-8701
  • Fax: 419-479-3298
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: