Ahmad Khaled Mahmood Al-Qaoud, M.D.

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

1901 First Avenue New York Ny 10029
New York, NY 10029

Phone

(212) 423-6271

Fax

(646) 672-3034

NPI assigned

May 23, 2023

Reactivated

Jul 19, 2024

Last updated

Jul 19, 2024By the provider in NPPES

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

Other names 1

• Ahmad Khaled Mahmood Al-Qaoud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1881386498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 EAST 106TH STREET, 5B APARTMENT",
            "address_2": "5B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "347-954-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 FIRST AVENUE NEW YORK NY 10029",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-423-6271",
            "fax_number": "646-672-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AL-QAOUD",
        "first_name": "AHMAD",
        "middle_name": "KHALED MAHMOOD",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-23",
        "last_updated": "2024-07-19",
        "certification_date": "2023-06-22",
        "deactivation_date": "2023-12-26",
        "reactivation_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AHMAD",
            "last_name": "AL-QAOUD",
            "middle_name": "KHALED MAHMOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Diana Al-Mallah
• Alreem Al-Nabti, MD
• Sarah Al-Nuaimi, MD
• Zayed Al-Otaiba, M.S.
• Jowhara Al-Qahtani, M.D.
• Lina Al-Rachach, RD, CDN
• Mohamad Al-Rashdan, M.D
• Kamal Sammy Al-Shalby, MD
• Zahraa Fadhil Abdullah Al-Sharshahi, MD
• Rami M Al-Sumairi, MD

• Student in an Organized Health Care Education/Training Program in New York, NY
• Providers in New York, NY by specialty
• Student in an Organized Health Care Education/Training Program in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.