Ahmed, Mahtab Uddin

Ahmed, Mahtab Uddin is an individual health care provider with primary practice located at 1230 E Rusholme St Ste 301 , Davenport IA 52803-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Ahmed, Mahtab Uddin can be contacted via phone (563) 421-8361.

Contact Information

Primary practice address
1230 E Rusholme St Ste 301 Davenport IA 52803-2400
Phone: (563) 421-8361
Fax: (563) 421-8369
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obesity Medicine 207QB0002X MD-48052 Iowa
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35067724 Ohio

Profile Details

NPI number 1891755021
LBN Legal business name Ahmed, Mahtab Uddin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Aug 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891755021 NPPES
Ohio MEDICAID 0177795

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