Individual ProviderMoaz AhmadInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address743 Spring Street, Suite 710, Gainesville, GA 30501(770) 219-8730PECOS EnrollmentBased on the most recent information from CMS, provider Moaz Ahmad is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1508429119Provider TypeIndividualFull NameAhmad, MoazCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date4/18/2019Last Updated8/8/2022Contact InformationPractice LocationPractice Address743 Spring Street, Suite 710, Gainesville, GA 30501Phone(770) 219-8730FaxUnlisted FaxMailing LocationMailing Address743 Spring Street, Suite 710, Gainesville, GA 30501Phone(770) 219-8730FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense2022026922Missouri