Mohamed Fawzi Ahmed
Individual provider Active NPI Audiologist · Saint Louis, MO
NPI 1437300035 · NPPES record last updated Oct 2, 2008
Key facts
- NPI
- 1437300035
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Audiologist 231H00000X
- License
- 2008021813 (MO)
- Practice address
- 4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527 - Phone
- (314) 531-3255
- NPI assigned
- Oct 2, 2008
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008021813 | MO | MD | Audiologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist | 231H00000X | 2008021813 | MO | Yes |
Addresses
Primary practice location
4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527
Mailing address
4497 Pershing Ave
Apt. # 510
Saint Louis, MO 63108-2527
Phone (314) 531-3255
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2008. 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.