Ahmed, Mohamed Hassan

Ahmed, Mohamed Hassan is an sole proprietor health care provider with primary practice located at 9840 W Broad St Ste B , Glen Allen VA 23060-4199. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / General Practice is his primary health care specialty. Ahmed, Mohamed Hassan can be contacted via phone (804) 270-9989.

Contact Information

Primary practice address
9840 W Broad St Ste B Glen Allen VA 23060-4199
Phone: (804) 270-9989
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401411318 Virginia
Dental Providers / Dentist 122300000X 3133 West Virginia

Profile Details

NPI number 1760580419
LBN Legal business name Ahmed, Mohamed Hassan
Credentials DMD, DDS, FAGD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2006
Last updated Apr 4th, 2024 - about last year

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 1760580419 NPPES
Virginia MEDICAID 9181303

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