Mohamed S Ahmed, DDS
Individual provider Active NPI Dentist · Catonsville, MD
NPI 1457414567 · NPPES record last updated Apr 19, 2012
Key facts
- NPI
- 1457414567
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 12501 (MD)
- Practice address
- 405 Frederick Rd
Suite 150
Catonsville, MD 21228-4645 - Phone
- (410) 747-0077
- Fax
- (410) 744-3135
- NPI assigned
- Dec 19, 2006
- 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 |
|---|---|---|---|
| 12501 | MD | MD | Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 12501 | MD | Yes |
Addresses
Primary practice location
405 Frederick Rd
Suite 150
Catonsville, MD 21228-4645
Mailing address
200 Forbes St
Suite 301
Annapolis, MD 21401-1538
Phone (443) 603-9000
Other providers in Catonsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2012. 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.