Provider Demographics
NPI:1366602161
Name:FODA, AHMED BAHER (MD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:BAHER
Last Name:FODA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2450 W HUNTING PARK AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1302
Mailing Address - Country:US
Mailing Address - Phone:215-722-4600
Mailing Address - Fax:215-722-1370
Practice Address - Street 1:7600 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2442
Practice Address - Country:US
Practice Address - Phone:215-722-4600
Practice Address - Fax:215-722-1370
Is Sole Proprietor?:No
Enumeration Date:2008-06-15
Last Update Date:2016-03-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD451792207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACD4829OtherTEMPLE PHYSICIANS INC RAILROAD MEDICARE GROUP
PA597586OtherTEMPLE PHYSICIANS INC MEDICARE GROUP
PA1007278000150OtherTEMPLE PHYSICIANS INC MEDICAID GROUP