Healthcare Provider Details

I. General information

NPI: 1457030033
Provider Name (Legal Business Name): MUHAMMAD AHMED
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2023
Last Update Date: 07/12/2026
Certification Date: 07/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 COCOA AVE
HERSHEY PA
17033-1712
US

IV. Provider business mailing address

500 UNIVERSITY DR
HERSHEY PA
17033-2360
US

V. Phone/Fax

Practice location:
  • Phone: 717-531-6015
  • Fax: 717-531-0140
Mailing address:
  • Phone: 717-531-6015
  • Fax: 717-531-0140

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License NumberMT236158
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: