Ebtihal Ahmed Mohamed Ahmed, MBBS | |
1025 Marsh St, Mankato, MN 56001-4752 | |
(507) 625-4031 | |
Not Available |
Full Name | Ebtihal Ahmed Mohamed Ahmed |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 1025 Marsh St, Mankato, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1235653452 | NPI | - | NPPES |
1235653452 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2020-00654 (North Carolina) | Secondary |
208000000X | Pediatrics | 75936 (Minnesota) | Primary |
Entity Name | Dlp Maria Parham Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215273628 PECOS PAC ID: 7719153683 Enrollment ID: O20111222000550 |
Mailing Address | Practice Location Address |
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Ebtihal Ahmed Mohamed Ahmed, MBBS 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 | Ebtihal Ahmed Mohamed Ahmed, MBBS 1025 Marsh St, Mankato, MN 56001-4752 Ph: (507) 625-4031 |
Dr. Manasa Karumuri, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4700 | |
Krista Hemmesch, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Matthew Gunars Thompson, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-594-4863 | |
Kenneth C Weimer, MD Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 | |
Darla J Wrage, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1421 Premier Dr, Mankato, MN 56001 Phone: 507-625-1811 | |
Dr. Rachel L. Singh, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1025 Marsh St, Mankato, MN 56001 Phone: 507-625-4031 |