Individual
DR. MOHAMMAD N AL SHROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2054 WATSON BLVD, WARNER ROBINS, GA 31093-3634
(478) 918-0770
(478) 918-0771
Mailing address
2054 WATSON BLVD, WARNER ROBINS, GA 31093-3634
(478) 918-0770
(478) 918-0771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
045158
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000807155AB
—
GA
05
—
000807155AC
—
GA
05
—
000807155I
—
GA
05
—
000807155R
—
GA
01
—
110237442
MEDICARE RAILROAD#
GA
01
—
1578519286
NPI
—
01
—
468916
WELLCARE
GA
01
—
511I110627
MEDICARE PTAN
—
01
—
614236400
DEPT OF LABOR
GA
01
—
867194728A
GBHC
GA
Enumeration date
05/25/2006
Last updated
05/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us