Individual
DR. ANAS OTHMAN ISSA MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 E 210TH ST, BRONX, NY 10467-2401
(718) 920-5731
(252) 744-3616
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-2803
(252) 744-3616
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
321030
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2019
Last updated
04/22/2025
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