Mustafa, Mahmoud Ahmad
Mustafa, Mahmoud Ahmad is an sole proprietor health care provider with primary practice located at 1409 Pennsylvania Ave , Hagerstown MD 21742-3109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Mustafa, Mahmoud Ahmad can be contacted via phone (301) 797-4060.Contact Information
Primary practice address
1409 Pennsylvania Ave
Hagerstown MD 21742-3109
Phone: (301) 797-4060
Fax: (301) 797-4197
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0061762 | Maryland |
Profile Details
| NPI number | 1639267651 |
|---|---|
| LBN Legal business name | Mustafa, Mahmoud Ahmad |
| Credentials | MD, FAAP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Jul 20th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639267651 | NPPES |
| Maryland | MEDICAID | 406134900 |
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