Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Ahmed Mudathir Hassan Mohamed, MBBS

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1194392100

Ahmed Mudathir Hassan Mohamed, MBBS practises Pathology in Russellville, Arkansas. Qualified in 2018, 8 years ago. Works from 2 locations. Licensed in Arkansas.

Years since qualifying
8
Licensed in
AR
In the registry since
2021
What do these letters mean?
MBBS — Bachelor of Medicine, Bachelor of Surgery
The medical degree awarded in the UK, India and many Commonwealth countries; equivalent to an MD.

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Practice location Address checks out

1430 W C St
Russellville, AR 72801-2805
Phone: (479) 968-6781
Fax: (479) 968-3074
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 420 E Superior St., Chicago, IL 60611-4494 — (312) 503-4748

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence E19914 (AR)

Record details

NPI number1194392100
Entity typeIndividual (Type 1)
GenderMale
Credentials MBBS
Sole proprietorNo
NPI enumeratedJune 8, 2021
Last updated in NPPESSeptember 25, 2026
Certification dateSeptember 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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