Individual
MOHAMED NIZAR N. MAHOMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6705 HERITAGE PKWY STE 202, ROCKWALL, TX 75087-8729
(469) 800-7200
(469) 800-7210
Mailing address
7550 W VILLAGE CIR, SUITE 1, WICHITA, KS 67205-9363
(316) 838-2020
(316) 838-7574
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
0434320
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200663460A
—
KS
Enumeration date
01/18/2007
Last updated
01/22/2025
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