Active NPI
Mohamed Gaafar Ahmed
- Driver
- Tempe, AZ
National Provider Identifier
1396040697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Driver
- License
- D03824309
- Practice address
- 3425 S. Priest Dr.
# 20
Tempe, AZ 85282 - Phone
- (602) 435-5506
- NPI assigned
- Jan 18, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | D03824309 | AZ | Primary |
Addresses
Primary practice location
3425 S. Priest Dr.
# 20
Tempe, AZ 85282
Mailing address
3425 S. Priest Dr.
# 20
Tempe, AZ 85282
Phone (602) 435-5506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 28 | Other | AZ | NON-EMERGENCY MEDICAL TRANSPORTATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D03824309 | AZ | MD | Driver |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1396040697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3425 S. PRIEST DR.",
"address_2": "# 20",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "602-435-5506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3425 S. PRIEST DR.",
"address_2": "# 20",
"city": "TEMPE",
"state": "AZ",
"postal_code": "85282",
"telephone_number": "602-435-5506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AHMED",
"first_name": "MOHAMED",
"middle_name": "GAAFAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "AZ",
"license": "D03824309",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NON-EMERGENCY MEDICAL TRANSPORTATION",
"identifier": "28",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.