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Contact Information

AHMAD M. MEHDI M.D P.C
100 SYKES ST
GROTON, NY13073-1231
 Phone: 607-898-5827
 Fax: 607-898-9726
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Family

363LF0000X 50 Nurse Practitioner
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AHMAD M MEHDI MD PC · (Female)

NPI Number 1578693917
Status Active
Credentials
Entity Individual
Enumeration date 03/06/2007
Last updated 01/16/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • NY License # 007106-1
  • NY License # 215330-1
  • NY Medicaid 01983962
  • NY Medicaid 02055512
  • NY Medicaid 02167100
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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