Individual
AHMAD MOHAMMAD MOUSA ALNASARAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
(248) 671-7103
Mailing address
405 W JACKSON ST, CARBONDALE, IL 62901-1462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.175214
IL
Other
Enumeration date
06/21/2022
Last updated
07/11/2025
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