Individual ProviderMohammed Ahmed A MadkhaliStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3000 Arlington Ave # Ms 1201, Toledo, OH 43614-2595(419) 383-3780(410) 599-3743PECOS EnrollmentBased on the most recent information from CMS, provider Mohammed Ahmed A Madkhali does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 11:36 AM.Profile DetailsProvider ID1033566500Provider TypeIndividualFull NameMadkhali, Mohammed Ahmed ACredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/15/2016Last Updated5/15/2016Contact InformationPractice LocationPractice Address3000 Arlington Ave # Ms 1201, Toledo, OH 43614-2595Phone(419) 383-3780Fax(419) 383-2021Mailing LocationMailing Address25400 Fort Meigs Rd Apt 45, Perrysburg, OH 43551-2232Phone(410) 599-3743FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer