Ahmad Mostafa Abdelbaset Ahmad

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Dothan, AL

NPI 1114869831 · NPPES record last updated Apr 9, 2026

Key facts

NPI
1114869831
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
4370 W Main St
Dothan, AL 36305-4000
Phone
(334) 944-7077
Fax
(334) 615-7217
NPI assigned
Apr 9, 2026
Sex
Male
Sole proprietor
No

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

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

Addresses

Primary practice location

4370 W Main St
Dothan, AL 36305-4000

Mailing address

4370 W Main St
Dothan, AL 36305-4000
Phone (334) 944-7077

Other providers in Dothan, AL

All providers in Dothan, AL · Student in an Organized Health Care Education/Training Program in Alabama

Sources for this page

Verify at the official NPI Registry.