Individual
MOHAMED EISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 EAST GENESEE ST., SUITE 205, SYRACUSE, NY 13210
(315) 464-1600
Mailing address
1000 EAST GENESEE ST., SUITE 205, SYRACUSE, NY 13210
(315) 464-1600
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
334349
NY
207RG0100X
Gastroenterology Physician
MD478609
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104031222
—
PA
01
—
15667230
CAQH
—
Enumeration date
07/07/2016
Last updated
03/18/2026
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