Ibn-Mahfoudh, Ahmed Mohsin

Ibn-Mahfoudh, Ahmed Mohsin is an sole proprietor health care provider with primary practice located at 36500 Aurora Dr , Summit WI 53066-4899. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Ibn-Mahfoudh, Ahmed Mohsin can be contacted via phone (262) 434-1000.

Contact Information

Primary practice address
36500 Aurora Dr Summit WI 53066-4899
Phone: (262) 434-1000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 69542 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 200100893 North Carolina
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 69542 Wisconsin

Profile Details

NPI number 1457320970
LBN Legal business name Ibn-Mahfoudh, Ahmed Mohsin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 16th, 2006
Last updated Jun 19th, 2023 - 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 1457320970 NPPES
Wisconsin MEDICAID 100079429

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