Individual
MOHAMMED GUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 S HOSPITAL DR, MURPHYSBORO, IL 62966-3333
(618) 684-3156
(618) 529-0522
Mailing address
PO BOX 3988, CARBONDALE, IL 62902-3988
(618) 684-3156
(618) 684-1040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036146028
IL
208M00000X
Hospitalist Physician
Primary
036146028
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
214881
GROUP PTAN
IL
Enumeration date
08/05/2015
Last updated
04/13/2026
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