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Ahmed Mohamed Mahdi, NP
Adult Health Nurse Practitioner in Moreno Valley, California
NPI 1467935858

Ahmed Mohamed Mahdi is an Adult Health Nurse Practitioner based in Los Angeles, CA and is specialized in Adult Health. Ahmed Mohamed Mahdi practices in Moreno Valley, CA and has the professional credentials of NP. The NPI Number for Ahmed Mohamed Mahdi is 1467935858 and holds a License No. 95009179 (California).

The current practice location address for Ahmed Mohamed Mahdi is 12730 Heacock St Ste 4A, Moreno Valley, CA and can be reached out via phone at 951-243-8517.

Location: 12730 Heacock St Ste 4A, Moreno Valley, CA, 90010-2645
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467935858
Provider Name
Ahmed Mohamed Mahdi
Credential
NP
Provider Entity Type
Individual
Gender
Male
Address
12730 Heacock St Ste 4A, Moreno Valley, CA, 90010-2645
Phone Number
951-243-8517
Fax Number
Provider Enumeration Date
09/11/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95009179 01 CA CALIFORNIA STATE NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
12730 Heacock St Ste 4A
City
Moreno Valley
State
California
Zip
92553-3040
Phone Number
951-243-8517
Fax Number
person
Provider Business Mailing Address Details
Address
12730 Heacock St Ste 4A
City
Moreno Valley
State
California
Zip
92553-3040
Phone Number
951-243-8517
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Acute Care
Taxonomy
363LA2100X
License No.
95009179 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
95009179 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
363LG0600X
License No.
95009179 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Occupational Health
Taxonomy
363LX0106X
License No.
95009179 (California)
Definition
Definition to come...
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