Individual
MOHAMMED R GHEBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5755 CEDAR LN, COLUMBIA, MD 21044-2999
(443) 718-3160
(443) 718-3170
Mailing address
PO BOX 7087, ELLICOTT CITY, MD 21042-8087
(443) 255-5241
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
D21706
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0200000940
RAILROAD MEDICARE #
MD
05
—
261901600
—
MD
01
—
3532MR
CAREFIRST MARYLAND #
MD
01
—
9534
BLUECHOICE #
MD
Enumeration date
07/21/2006
Last updated
07/24/2023
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