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 13 days ago.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