Individual
MOHAMMAD HISHAM HOUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(401) 368-2486
Mailing address
327 MEDICAL PARK DR, BRIDGEPORT, WV 26330-9006
(401) 368-2486
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31773
WV
208800000X
Urology Physician
LP04882
RI
Other
Enumeration date
06/26/2020
Last updated
09/12/2022
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