Dr. Ahmed Mohsin Ibn-Mahfoudh, MD
Hospitalist in Summit, WI. Individual provider (NPI-1).
NPI number1457320970
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1457320970
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ahmed Mohsin Ibn-Mahfoudh
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 16, 2006
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 69542 | WI | Yes |
| 207R00000X | Internal Medicine | 69542 | WI | |
| 207R00000X | Internal Medicine | 200100893 | NC |
Practice location
36500 Aurora DrSummit, WI 53066-4899
Phone 262-434-1000
Mailing address
Po Box 735044Chicago, IL 60673-5044
Other practice locations
409 Wake Chapel Rd
Fuquay Varina, NC 27526
Fuquay Varina, NC 27526
Phone 919-567-9001 · Fax 919-557-5540
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