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Individual
DR. MOUTASIM HOMOD AL-SHAER
Active
Individual
DR. MOUTASIM HOMOD AL-SHAER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26873
OK
208M00000X
Hospitalist Physician
Primary
26873
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1239726
CONTROLLED SUBSTANCE REG.
IA
05
—
20024424DA
—
OK
01
—
CD1018
RAILROAD MEDICARE
IA
Enumeration date
06/08/2006
Last updated
11/04/2013
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