Eltayeb Mohamed Ahmed, MBBS

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

11627 Issued in GA

Practice address

5665 Peachtree Dunwoody Rd
Atlanta, GA 30342-1764

Phone

(678) 843-7001

NPI assigned

Nov 14, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1573689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573689600000",
    "number": "1164067112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 SPRINGWOOD CONNECTOR UNIT 310",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285883",
            "telephone_number": "470-232-4124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 PEACHTREE DUNWOODY RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421764",
            "telephone_number": "678-843-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED AHMED",
        "first_name": "ELTAYEB",
        "credential": "MBBS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-14",
        "last_updated": "2019-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "GA",
            "license": "11627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Moffitt
• Mishana L. Mogelnicki, PAAA
• Stanley R Mogelnicki, M.D.
• Pegah Moghaddam, PSY. D
• Maria Alejandra Mogollon, APRN, NP-C
• Eltirmizy Salih Khidir Mohamed
• Ghada Ashraf Ahmed Mahmoud Mohamed, MD, MSC, MSCR
• Iman Mohamed, PHARMD
• Olina Mohamed
• Salma Sabry Mohamed, PA

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2019; 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.