Individual provider Active NPI

Mohammed Ahmed a Madkhali, M.D.

  • Student in an Organized Health Care Education/Training Program
  • Toledo, OH
National Provider Identifier
1033566500
Registry record updated May 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
3000 Arlington Ave # Ms 1201
Toledo, OH 43614-2595
Phone
(419) 383-3780
Fax
(419) 383-2021
NPI assigned
May 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

3000 Arlington Ave # Ms 1201
Toledo, OH 43614-2595

Mailing address

25400 Fort Meigs Rd Apt 45
Perrysburg, OH 43551-2232
Phone (410) 599-3743

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463270400000",
    "number": "1033566500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25400 FORT MEIGS RD APT 45",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512232",
            "telephone_number": "410-599-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE # MS 1201",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3780",
            "fax_number": "419-383-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADKHALI",
        "first_name": "MOHAMMED",
        "middle_name": "AHMED A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-15",
        "last_updated": "2016-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.