Organization Active NPI

Mehmud Ahmed M D P C

  • Behavioral Neurology & Neuropsychiatry Physician
  • Chandler, AZ
National Provider Identifier
1841693710
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavioral Neurology & Neuropsychiatry PhysicianTaxonomy code 2084B0040X
License
24367 Issued in AZ
Legal business name
MEHMUD AHMED M D P C
Practice address
70 N McClintock Dr
Suite 4
Chandler, AZ 85226-3711
Phone
(480) 464-4431
Fax
(480) 464-2338
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Mehmud Ahmed, M.D.
Title
Owner
Phone
(480) 464-4431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavioral Neurology & Neuropsychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084B0040X 24367 AZ Primary

Addresses

Primary practice location

70 N McClintock Dr
Suite 4
Chandler, AZ 85226-3711

Mailing address

2903 E Wyatt Way
Gilbert, AZ 85297-2142
Phone (480) 464-4431

Other identifiers 1

IdentifierTypeStateIssuer
1942221635OtherAZINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1841693710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 E WYATT WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852972142",
            "telephone_number": "480-464-4431",
            "fax_number": "480-464-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 N MCCLINTOCK DR",
            "address_2": "SUITE 4",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852263711",
            "telephone_number": "480-464-4431",
            "fax_number": "480-464-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEHMUD AHMED M D P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MEHMUD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-464-4431",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "AZ",
            "license": "24367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1942221635",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.