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Individual

DR. ALY M MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1662 DOMINICAN WAY, SANTA CRUZ, CA 95065-1522
(831) 460-7350
Mailing address
16185 LOS GATOS BLVD STE 205, LOS GATOS, CA 95032-4569
(541) 908-2316

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125061304
IL
207R00000X
Internal Medicine Physician
MD2015-0700
NM
207RG0100X
Gastroenterology Physician
Primary
A154654
CA
390200000X
Student in an Organized Health Care Education/Training Program
NM

Other

Enumeration date
04/05/2012
Last updated
10/21/2024
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