Individual
MOHAMED HASSANEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 815-2005
Mailing address
504 CLINTON CENTER DRIVE, CBO - SUITE 4300, CLINTON, MS 39056
(601) 815-2005
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301110720
MI
207RN0300X
Nephrology Physician
Primary
57.245144
OH
Other
Enumeration date
07/08/2016
Last updated
10/27/2021
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