Individual
MOHAMED MAHFOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
01081564A
IN
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
95074
GA
390200000X
Student in an Organized Health Care Education/Training Program
272388
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
95074
GA STATE MEDICAL BOARD
GA
Enumeration date
05/01/2014
Last updated
09/18/2023
Update your record
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