Provider Demographics
NPI:1932996956
Name:AHMED, MOHAMMED A
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:A
Last Name:AHMED
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 1:20 DESCANSO DR UNIT 1228
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1843
Mailing Address - Country:US
Mailing Address - Phone:408-469-6941
Mailing Address - Fax:
Practice Address - Street 1:20 DESCANSO DR UNIT 1228
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95134-1843
Practice Address - Country:US
Practice Address - Phone:408-469-6941
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-23
Last Update Date:2025-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program