Individual
DR. HUMAED MOHAMMED ABDUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-5476
Mailing address
1401 E STATE ST, ROCKFORD, IL 61104-2315
(779) 696-5476
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.159177
IL
390200000X
Student in an Organized Health Care Education/Training Program
125075117
IL
Other
Enumeration date
07/10/2019
Last updated
06/27/2023
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