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General NPI Number Information
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NPI Number | 1659473312
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Entity Type | Individual
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Provider Name | MAHMOUD AHMED MD
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Gender | Male
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 200 W 5TH ST S
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City | LADYSMITH
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State | WI
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Zip | 54848-1703
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Country | US
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Telephone | 715-532-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 N SAINT JOSEPH AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-1340
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Country | US
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Telephone | 800-942-5420
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Fax |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 28822
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | S0252
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License Number State | TX
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