Provider Demographics
NPI:1043199987
Name:JAMA, AHMED MOHAMED
Entity type:Individual
Prefix:
First Name:AHMED
Middle Name:MOHAMED
Last Name:JAMA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4111E ROSE LAKE DR # 8679
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28217-2858
Mailing Address - Country:US
Mailing Address - Phone:603-264-1307
Mailing Address - Fax:
Practice Address - Street 1:4111E ROSE LAKE DR # 8679
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28217-2858
Practice Address - Country:US
Practice Address - Phone:603-264-1307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)