Ahmed, Mahtab Uddin
Ahmed, Mahtab Uddin is an individual health care provider with primary practice located at 1230 E Rusholme St Ste 301 , Davenport IA 52803-2400. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obesity Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Obesity Medicine is his primary health care specialty. Ahmed, Mahtab Uddin can be contacted via phone (563) 421-8361.Contact Information
Primary practice address
1230 E Rusholme St Ste 301
Davenport IA 52803-2400
Phone: (563) 421-8361
Fax: (563) 421-8369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obesity Medicine | 207QB0002X | MD-48052 | Iowa |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35067724 | Ohio |
Profile Details
| NPI number | 1891755021 |
|---|---|
| LBN Legal business name | Ahmed, Mahtab Uddin |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 23rd, 2006 |
| Last updated | Aug 19th, 2021 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891755021 | NPPES |
| Ohio | MEDICAID | 0177795 |
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