Individual
DR. EMAD HASHIM MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Mailing address
17 CENTRE PLAZA DR, JACKSON, TN 38305-2862
(731) 512-0104
(731) 668-7388
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
16576
MS
207RC0000X
Cardiovascular Disease Physician
Primary
53599
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04979841
—
MS
Enumeration date
07/09/2006
Last updated
02/25/2025
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