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General NPI Number Information
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NPI Number | 1053307496
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Entity Type | Individual
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Provider Name | MOHAMED AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 300 E PULASKI HWY SUIT 106
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City | ELKTON
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State | MD
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Zip | 21921-6435
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Country | US
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Telephone | 410-398-0590
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Fax | 443-245-3737
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Provider Business Mailing Address
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Address Line | PO BOX 1040
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City | ELKTON
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State | MD
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Zip | 21922-1040
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Country | US
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Telephone | 410-398-0590
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Fax | 443-245-3737
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | C10007449
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | C10007449
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | C1-0010198
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License Number State | DE
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