Ahmad Mahmoud Qudaiesat, FNP - Nurse Practitioner in Inglewood, CA

Ahmad Mahmoud Qudaiesat, FNP is a Nurse Practitioner - Family based in Inglewood, California. Ahmad Mahmoud Qudaiesat is licensed to practice in California (license number 95010937) and his current practice location is 555 E Hardy St, Inglewood, California. He can be reached at his office (for appointments etc.) via phone at (310) 680-8536.

NPI number for Ahmad Mahmoud Qudaiesat is 1801350822 and his current mailing address is 898 N Pacific Coast Hwy Ste 600, El Segundo, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801350822.

Contact Information

Ahmad Mahmoud Qudaiesat, FNP
555 E Hardy St,
Inglewood, CA 90301-4011
(310) 680-8536
Not Available

Map and Direction




Provider's Profile

Full NameAhmad Mahmoud Qudaiesat
GenderMale
SpecialityNurse Practitioner - Family
Location555 E Hardy St, Inglewood, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1801350822
  • Provider Enumeration Date: 01/23/2019
  • Last Update Date: 01/23/2019

Medical Identifiers

Medical identifiers for Ahmad Mahmoud Qudaiesat such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1801350822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 95010937 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ahmad Mahmoud Qudaiesat is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ahmad Mahmoud Qudaiesat, FNP
898 N Pacific Coast Hwy Ste 600,
El Segundo, CA 90245-2747

Ph: (310) 379-2134
Ahmad Mahmoud Qudaiesat, FNP
555 E Hardy St,
Inglewood, CA 90301-4011

Ph: (310) 680-8536

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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