MEDICARE: HOSAM AHMED MD, PHD

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
1	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician	00000	MA

General Provider Information

NPI Number	:	1588472732
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOSAM AHMED MD, PHD

Provider Business Mailing Address
First Line	:	424 KASOTA ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3013
Country	:	US
Telephone Number	:	352-870-4785
Fax Number	:

Provider Business Practice Location Address
First Line	:	424 KASOTA ST
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3013
Country	:	US
Telephone Number	:	352-870-4785
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/19/2024
Last Update Date	:	12/19/2024

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