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Individual
MOHAMED DAFALLA
Active
Individual
MOHAMED DAFALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12371377-1205
UT
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
12371377-1205
UT
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
12371377-1205
UT
Other
Enumeration date
03/29/2014
Last updated
01/07/2022
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