Healthcare Provider Details

I. General information

NPI: 1538620877
Provider Name (Legal Business Name): AHMED MOHAMED KAMAL HALIMA M.B.B.CH
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/28/2019
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N ACADEMY AVE
DANVILLE PA
17822-9800
US

IV. Provider business mailing address

455 MAIN ST APT 6Q
NEW YORK NY
10044-0196
US

V. Phone/Fax

Practice location:
  • Phone: 570-271-6144
  • Fax:
Mailing address:
  • Phone: 646-770-6877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD484788
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: