Individual
MOHAMMED JOMHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(310) 735-5734
Mailing address
1520 N SENATE AVE, INDIANAPOLIS, IN 46202-2213
(317) 962-9792
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11019668A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MJOMHA5734
—
IN
Enumeration date
07/06/2017
Last updated
07/06/2017
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