1154571354 NPI number — PRINCETON BAPTIST MEDICAL CENTER

Table of content: MOHAMED EL-AMIN A. AHMED M.D. (NPI 1477703676)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1154571354 NPI number — PRINCETON BAPTIST MEDICAL CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PRINCETON BAPTIST MEDICAL CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1154571354
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/24/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
701 PRINCETON AVE SW
Provider Second Line Business Mailing Address:
DEPT. OF WOMEN AND INFANTS
Provider Business Mailing Address City Name:
BIRMINGHAM
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35211-1303
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
205-783-7174
Provider Business Mailing Address Fax Number:
205-783-3030

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
701 PRINCETON AVE SW
Provider Second Line Business Practice Location Address:
DEPT. OF WOMEN AND INFANTS
Provider Business Practice Location Address City Name:
BIRMINGHAM
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35211-1303
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
205-783-7174
Provider Business Practice Location Address Fax Number:
205-783-3030
Provider Enumeration Date:
09/24/2008

Additional Information

Authorized Official

Authorized Official Last Name:
DAVIS
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
MITCHELL
Authorized Official Title or Position:
CERTIFIED CHILDBIRTH EDUCATOR
Authorized Official Telephone Number:
205-783-7174

Provider Taxonomy Codes

  • Taxonomy code: 282N00000X , with the licence number:  2083P0901X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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