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Individual
MOHAMED DIAB
Active
Individual
MOHAMED DIAB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1016657
MA
207R00000X
Internal Medicine Physician
32756-01
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/22/2020
Last updated
02/29/2024
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