Individual
DR. MAHMOUD S MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
4301072814
MI
2084N0600X
Clinical Neurophysiology Physician
Primary
35083960
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000495762
ANTHEM
OH
01
—
04860
PARAMOUNT
OH
05
—
2672817
—
OH
01
—
7048613
AETNA
MI
01
—
740387
BCHP
OH
01
—
P00380466
RAILROAD MEDICARE
OH
Enumeration date
09/20/2005
Last updated
02/06/2009
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