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Individual

MOHAMED HATAB

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3270 W LAKE ST, MINNEAPOLIS, MN 55416-4512
(612) 775-1800
Mailing address
1005 BROADWAY ST, QUINCY, IL 62301-2834
(217) 223-1200
(217) 277-8988

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036175061
IL
207Q00000X
Family Medicine Physician
2024-02134
NC
207Q00000X
Family Medicine Physician
Primary
75606
MN
208M00000X
Hospitalist Physician
036175061
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
03/31/2021
Last updated
03/10/2026
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