Basic Information
| Provider Information | |||||||||
| NPI: | 1407952963 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | AHMED | ||||||||
| FirstName: | IBRAHIM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD FAAP | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 746450 | ||||||||
| Address2: | |||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303746450 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514343626 | ||||||||
| FaxNumber: | 2514452464 | ||||||||
| Practice Location | |||||||||
| Address1: | 1601 CENTER ST | ||||||||
| Address2: | |||||||||
| City: | MOBILE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 366041541 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2514105437 | ||||||||
| FaxNumber: | 2514343802 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/15/2006 | ||||||||
| LastUpdateDate: | 08/11/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/11/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208000000X | 191749 | NY | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | MD046924L | PA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 04-40922 | KS | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 60837592 | WA | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 00786 | NC | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 4301113644 | MI | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | 17545 | NH | N | Allopathic & Osteopathic Physicians | Pediatrics | 208000000X | R3464 | TX | N | Allopathic & Osteopathic Physicians | Pediatrics | 208M00000X | R3464 | TX | N | Allopathic & Osteopathic Physicians | Hospitalist | 208000000X | MD.43539 | AL | Y | Allopathic & Osteopathic Physicians | Pediatrics |
No ID Information.