Individual provider · NPI-1

Dr. Hala Mohamed Aly Ahmed, MD

Family Medicine · Grants Pass, OR

NPI number1013083609
StatusActive
Last updated in NPPESNov 5, 2007

Details

NPI
1013083609
Entity type
Individual (NPI-1)
Name
Dr. Hala Mohamed Aly Ahmed
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Nov 27, 2006
Last updated
Nov 5, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD27049ORYes

Practice location

125 Ne Manzanita Ave
Grants Pass, OR 97526-1400

Phone 541-471-3455

Mailing address

310 Brandon St
Central Point, OR 97502-1789

Phone 541-210-5201

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