Provider Demographics
NPI:1871894147
Name:MUDEY, AHMED (PHARMD)
Entity type:Individual
Prefix:DR
First Name:AHMED
Middle Name:
Last Name:MUDEY
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 S DOWNING ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-4528
Mailing Address - Country:US
Mailing Address - Phone:303-722-1702
Mailing Address - Fax:303-722-3562
Practice Address - Street 1:2150 S DOWNING ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-4528
Practice Address - Country:US
Practice Address - Phone:303-722-1702
Practice Address - Fax:303-722-3562
Is Sole Proprietor?:No
Enumeration Date:2010-11-03
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO17730183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist