Individual
DR. MAHMOUD S MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4417 N HOLLAND SYLVANIA RD, SUITE 301C, TOLEDO, OH 43623-3518
(419) 517-5333
(419) 517-5333
Mailing address
4417 N HOLLAND SYLVANIA RD, SUITE 301C, TOLEDO, OH 43623-3518
(419) 517-5333
(419) 517-5333
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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