Dr MAHMOUD AHMED is a male medical professional, specializing in Internal Medicine. He graduated in 2011.
LIFESPAN PHYSICIAN GROUP, INC.
164 SUMMIT AVE
PROVIDENCE
RI
029062853
Tel: 4017934102
| Npi | 1982157400 |
| Pac Id | 6002151461 |
| Professional Enrollment Id | I20190510002118 |
| Last Name | AHMED |
| First Name | MAHMOUD |
| Middle Name | |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2011 |
| Primary Specialty | INTERNAL MEDICINE |
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| Organization Legal Name | LIFESPAN PHYSICIAN GROUP, INC. |
| Group Practice Pac Id | 2567455082 |
| Number Of Group Practice Members | 615 |
| Line 1 Street Address | 164 SUMMIT AVE |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | PROVIDENCE |
| State | RI |
| Zip Code | 029062853 |
| Phone Number | 4017934102 |
| Hospital Affiliation Ccn 1 | 410012 |
| Hospital Affiliation Lbn 1 | THE MIRIAM HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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