Fadwa Ahmed

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Brockton, MA

NPI 1942903497 · NPPES record last updated Mar 23, 2023

Key facts

NPI
1942903497
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
680 Centre St
Brockton, MA 02302-3395
Phone
(508) 941-7400
NPI assigned
Mar 23, 2023
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No

National Provider Directory

Medicare enrollment (NPD)
Yes

Interoperability endpoints

  • Direct secure messaging: fahmed253383@direct.bilh.masshiway.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

680 Centre St
Brockton, MA 02302-3395

Mailing address

680 Centre St
Brockton, MA 02302-3395

Other providers in Brockton, MA

All providers in Brockton, MA · Student in an Organized Health Care Education/Training Program in Massachusetts

Sources for this page

Verify at the official NPI Registry.