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Individual
DR. RIYAD MOHAMA
Active
Individual
DR. RIYAD MOHAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
3476
SD
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
3476
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003382
SD BCBS
SD
01
—
165028
UCARE
—
05
—
1981787
—
IA
01
—
24684
HEALTH PARTNERS
—
01
—
3476
DAKOTACARE
SD
05
—
431200700
—
MN
01
—
4R614MO
MN BCBS - PLAN 91057NO
MN
01
—
53992
IA BCBS
IA
05
—
6002492
—
SD
01
—
931451029039
PREFERRED ONE
—
Enumeration date
05/17/2006
Last updated
06/10/2008
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