Basic Information
| Provider Information | |||||||||
| NPI: | 1376596932 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | ZEIN-AHMED | ||||||||
| FirstName: | MOHAMED | ||||||||
| MiddleName: | EL | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 22727 | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392252727 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6012004880 | ||||||||
| FaxNumber: | 6012000988 | ||||||||
| Practice Location | |||||||||
| Address1: | 2520 5TH STREET N. | ||||||||
| Address2: | |||||||||
| City: | COLUMBUS | ||||||||
| State: | MS | ||||||||
| PostalCode: | 39705 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6622442042 | ||||||||
| FaxNumber: | 6622442041 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/17/2006 | ||||||||
| LastUpdateDate: | 03/20/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 13710 | MS | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.