Individual
M HISHAM MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3214 CHARLES B ROOT WYND, SUITE 217, RALEIGH, NC 27612-5440
(919) 789-0909
(919) 789-9168
Mailing address
3214 CHARLES B ROOT WYND, SUITE 217, RALEIGH, NC 27612-5440
(919) 789-0909
(919) 789-9168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9501610
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34D0949052
CLIA
NC
01
—
9501610
STATE LICENSE NUMBER
NC
Enumeration date
11/16/2006
Last updated
03/07/2023
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