Farrag, Mohamed Mahmoud Ali Ahmed

Farrag, Mohamed Mahmoud Ali Ahmed is an individual health care provider with primary practice located at 12 St Paul Dr , Chambersburg PA 17201-1035. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Farrag, Mohamed Mahmoud Ali Ahmed can be contacted via phone (717) 217-6072.

Contact Information

Primary practice address
12 St Paul Dr Chambersburg PA 17201-1035
Phone: (717) 217-6072
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X MD472206 Pennsylvania

Profile Details

NPI number 1114389970
LBN Legal business name Farrag, Mohamed Mahmoud Ali Ahmed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2016
Last updated Jun 9th, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114389970 NPPES
Other 15089158 CAQH
MEDICAID 103881321 CAQH
Other 1114389970 CAQH

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