MOHAMMED R AHMEDUDDIN (NPI# 1295998722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295998722 |
| Entity Type | Individual |
| Full Name | MOHAMMED R AHMEDUDDIN |
| Credential | DPM |
| Practice Address |
2124 Candler Rd Decatur GA 30032 |
| Mailing Address |
1395 Nw 167th St Miami FL 33169-5710 |
| Practice Telephone | 4048360272 |
| Mailing Telephone | 3056286117 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2019-10-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | POD001431 | GA | Podiatric Medicine & Surgery Service Providers |
| N | 213E00000X | Podiatrist | E4653 | CA | Podiatric Medicine & Surgery Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200982210 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 240 S La Cienega Blvd, Suite 300, Beverly Hills, CA 902113324 | 3106523668 | 3106523669 |
| Street Address |
2124 CANDLER RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366478307 | Jessica Adam | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032-5572 | 2006-06-23 |
| 1962934752 | Stella Nkechi Kamanu | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032-5572 | 2017-03-30 |
| 1912248345 | Jencare Neighborhood Medical Center South Dekalb, LLC | Non-Pharmacy Dispensing Site | 2124 Candler Rd, Decatur, GA 30032-5572 | 2013-03-11 |
| 1669733606 | Christine Johnson | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032-5572 | 2012-06-06 |
| 1073806527 | Ijeoma Ejigiri | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032 | 2011-05-17 |
| 1992977847 | Schuyler David Livingston | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032 | 2008-04-01 |
| 1225253826 | Varinder Kaur Singh | Family Medicine | 2124 Candler Rd, Decatur, GA 30032-5572 | 2007-04-17 |
| 1841313749 | Shazia Naib | Internal Medicine | 2124 Candler Rd, Decatur, GA 30032-5572 | 2007-04-08 |
| 1891702114 | Victor M Alvarez | Family Medicine | 2124 Candler Rd, Decatur, GA 30032 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427696392 | Trent Lott | Podiatrist | 3045 Brook Dr, Decatur, GA 30033-3937 | 2019-12-11 |
| 1801352190 | Zachary Adam Rohr | Podiatrist | 2314 Emerald Springs Dr, Decatur, GA 30035-2632 | 2019-02-12 |
| 1083876304 | Greenbriar Foot & Ankle Center LLC | Podiatrist | 4480 Covington Highway, Suite A, Decatur, GA 30034 | 2008-06-27 |
| 1447326442 | Joseph R Dupper | Podiatrist | 2506 Danville Rd Sw Suite 204, Decatur, AL 35603 | 2006-11-28 |
| 1811916497 | Howard M Bryant | Podiatrist | 2575 Snapfinger Rd Ste D, Decatur, GA 30034-2300 | 2006-07-18 |
| 1003846718 | Suzette Andrean Clements | Podiatrist | 4535 Flat Shoals Pkwy, Suite # 301, Decatur, GA 30034-5039 | 2006-07-05 |
| 1538103403 | Jonathan Mark Smith | Podiatrist | 145 S 2nd St, Decatur, IN 46733-1664 | 2006-06-15 |
| 1427014034 | Craig Allen Murad | Podiatrist | 1481 Oakridge Cir, Decatur, GA 30033-2137 | 2006-04-22 |
| 1598230690 | Nickil Nayee | Podiatrist | 1670 Clairmont Rd, Decatur, GA 30033-4004 | 2018-10-04 |
| 1417458357 | Karen Moon | Podiatrist | 2701 N Decatur Rd, Decatur, GA 30033-5918 | 2018-02-26 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.