Individual
DR. MOHAMAD AL MAWALDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4440 W 95TH ST, OAK LAWN, IL 60453-2600
(414) 649-7927
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31721
AZ
207R00000X
Internal Medicine Physician
51802
WI
207RT0003X
Transplant Hepatology Physician
Primary
036-108328
IL
207RT0003X
Transplant Hepatology Physician
51805
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100001354
—
WI
05
—
796823-01
—
AZ
Enumeration date
04/27/2006
Last updated
09/10/2024
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