Individual
ABDIRAHMAN MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER BLVD, COOKEVILLE, TN 38501
(931) 783-2770
(931) 525-1176
Mailing address
127 N OAK AVE STE D, COOKEVILLE, TN 38501-2435
(931) 783-5857
(931) 526-6760
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD61383503
WA
208M00000X
Hospitalist Physician
Primary
57919
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/02/2015
Last updated
01/09/2023
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