Mahdi, Ahmed Mohamed
Mahdi, Ahmed Mohamed is an individual health care provider with primary practice located at 12730 Heacock St Ste 4A , Moreno Valley CA 92553-3040. He recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Occupational Health, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is his primary health care specialty. Mahdi, Ahmed Mohamed can be contacted via phone (951) 243-8517.Contact Information
Primary practice address
12730 Heacock St Ste 4A
Moreno Valley CA 92553-3040
Phone: (951) 243-8517
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 95009179 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 95009179 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Occupational Health | 363LX0106X | 95009179 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 95009179 | California |
Profile Details
| NPI number | 1467935858 |
|---|---|
| LBN Legal business name | Mahdi, Ahmed Mohamed |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 11th, 2018 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467935858 | NPPES |
| California | Other | 95009179 | CALIFORNIA STATE NURSE PRACTITIONER |
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