Individual provider · NPI-1

Mohammed Kashan Ahmed, RPA-C

Physician Assistant · Mineola, NY

NPI number1124302229
StatusActive
Last updated in NPPESAug 8, 2022

Details

NPI
1124302229
Entity type
Individual (NPI-1)
Name
Mr. Mohammed Kashan Ahmed
Credential
RPA-C
Sex
Male
Sole proprietor
No
Enumeration date
Oct 6, 2011
Certification date
Aug 8, 2022
Last updated
Aug 8, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant015175NYYes

Practice location

259 1st St
Mineola, NY 11501-3957

Phone 516-663-8850

Mailing address

129 Glen Rd
North Babylon, NY 11703-4411

Phone 516-508-0836

Other practice locations

1484 E 87th St
Brooklyn, NY 11236-5138

Phone 347-554-8535

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Physician Assistant providers in Mineola, NY