| Ahmed Mekkawy, M.d., P.a. | |
|
925 Clifton Ave Suite 101 Clifton NJ 07013-2724 | |
| (973) 778-5070 | |
| (973) 778-2878 |
| Full Name | Ahmed Mekkawy, M.d., P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 925 Clifton Ave, Clifton, New Jersey |
| Authorized Official Name and Position | Ahmed Mekkawy (PRESIDENT) |
| Authorized Official Contact | 9737785070 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahmed Mekkawy, M.d., P.a. 925 Clifton Ave Suite 101 Clifton NJ 07013-2724 Ph: (973) 778-5070 | Ahmed Mekkawy, M.d., P.a. 925 Clifton Ave Suite 101 Clifton NJ 07013-2724 Ph: (973) 778-5070 |
| NPI Number | 1891097648 |
|---|---|
| Provider Enumeration Date | 11/30/2010 |
| Last Update Date | 12/01/2010 |
| Medicare PECOS PAC ID | 8729275722 |
|---|---|
| Medicare Enrollment ID | O20101202000986 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891097648 | NPI | - | NPPES |
| 1884301 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 25MA04301600 (New Jersey) | Primary |
| Provider Name | Ahmed Mekkawy |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1033181680 PECOS PAC ID: 1052478385 Enrollment ID: I20101015001215 |
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