Hala Mohamed Aly Ahmed, MD
Individual provider Active NPI Family Medicine Physician · Grants Pass, OR
NPI 1013083609 · NPPES record last updated Nov 5, 2007
Key facts
- NPI
- 1013083609
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD27049 (OR)
- Practice address
- 125 NE Manzanita Ave
Grants Pass, OR 97526-1400 - Phone
- (541) 471-3455
- NPI assigned
- Nov 27, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD27049 | OR | Yes |
Addresses
Primary practice location
125 NE Manzanita Ave
Grants Pass, OR 97526-1400
Mailing address
310 Brandon St
Central Point, OR 97502-1789
Phone (541) 210-5201
Other providers in Grants Pass, OR
- Liliana Rosario Aguilar
- Richard Aguilera
- Aaron Victor Aguirre
- Alvin H. L. Ahlstrom
- Crystal Ahlstrom
- Albertsons LLC
- David S Albrecht
- Susan Lara Albright
- Michelle Donna Alcala
- Selena Rose Alderson
All providers in Grants Pass, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 5, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.