| Ahmed Mohamed Md Llc | |
|
412 W 19th St Panama City FL 32405-4602 | |
| (850) 522-4155 | |
| (850) 522-4156 |
| Full Name | Ahmed Mohamed Md Llc |
|---|---|
| Speciality | Psychologist |
| Location | 412 W 19th St, Panama City, Florida |
| Authorized Official Name and Position | Ahmed Mohamed (MEDICAL DOCTOR) |
| Authorized Official Contact | 8505224155 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Mohamed Md Llc 1240 Dundee Ln Lynn Haven FL 32444-8301 Ph: (850) 522-5144 | Ahmed Mohamed Md Llc 412 W 19th St Panama City FL 32405-4602 Ph: (850) 522-4155 |
| NPI Number | 1447529086 |
|---|---|
| Provider Enumeration Date | 12/28/2011 |
| Last Update Date | 12/28/2011 |
| Medicare PECOS PAC ID | 6709052004 |
|---|---|
| Medicare Enrollment ID | O20120109000778 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447529086 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | ME81605 (Florida) | Primary |
| Provider Name | Ahmed M Mohamed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750420626 PECOS PAC ID: 1456242809 Enrollment ID: I20040324000008 |
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