Masoud Ahdieh, M.D.
Individual provider Active NPI Pediatric Adolescent Medicine Physician · Rockingham, NC
NPI 1881743763 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881743763
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Adolescent Medicine Physician 2080A0000X
- License
- N24332 (NC)
- Practice address
- 711 S Long Dr
Rockingham, NC 28379-4315 - Phone
- (910) 997-7180
- Fax
- (910) 997-3830
- NPI assigned
- Jan 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| N24332 | NC | MD | Pediatric Adolescent Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | N24332 | NC | Yes |
Addresses
Primary practice location
711 S Long Dr
Rockingham, NC 28379-4315
Mailing address
711 S Long Dr
Rockingham, NC 28379-4315
Phone (910) 997-7180
Other providers in Rockingham, NC
- 21St Century Counseling, PLLC
- A New Beginning Adult and Youth Services, Inc.
- A New Day Family Services
- A Primary Choice, Inc.
- Advance Intergrated Mentoring
- Katheryn Aiken
- Al H Covington OD PA
- Al H Covington OD PA
- Candy Alderman
- Chasity Dawn Allen
All providers in Rockingham, NC · Pediatric Adolescent Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.