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NPI Code Detail

MEDICARE: DR. ALAA MOHAMED AHMED MD

MEDICARE: DR. ALAA MOHAMED AHMED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0804XChild & Adolescent Psychiatry PhysicianV9543TX
22084P0800XPsychiatry Physician036155707IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144742230
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALAA MOHAMED AHMED MD
Provider Business Mailing Address
First Line : PO BOX 3988
Second Line :
City : CARBONDALE
State : IL
Zip : 62902-3988
Country : US
Telephone Number : 618-457-5200
Fax Number :
Provider Business Practice Location Address
First Line : 2601 W MAIN ST
Second Line :
City : CARBONDALE
State : IL
Zip : 62901-1031
Country : US
Telephone Number : 618-549-5361
Fax Number : 618-351-4878
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2017
Last Update Date : 03/16/2026

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