Individual provider · NPI-1

Mohammed F. Ahmad, MD

Family Medicine · Lakewood, OH

NPI number1033472386
StatusActive
Last updated in NPPESAug 2, 2022

Details

NPI
1033472386
Entity type
Individual (NPI-1)
Name
Mohammed F. Ahmad
Credential
MD
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 21, 2012
Certification date
Aug 2, 2022
Last updated
Aug 2, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine35124466OHYes
207Q00000X Family MedicineQ8815TX

Practice location

11716 Detroit Ave
Lakewood, OH 44107-3002

Phone 440-315-1489 · Fax 440-363-5875

Mailing address

Po Box 770800
Lakewood, OH 44107-0037

Phone 440-315-1489 · Fax 440-363-5875

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