Individual
DR. MOHAMMAD N AL SHROOF
Active
Individual
DR. MOHAMMAD N AL SHROOF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
Update your record
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