Individual
MOURAD YEHIA HAMOUDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBCH
Contact information
Practice address
123 SUMMER ST, WORCESTER, MA 01608-1216
(000) 000-0000
Mailing address
2601 HOLME AVE, PHILADELPHIA, PA 19152-2007
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT226967
PA
2085R0202X
Diagnostic Radiology Physician
Primary
3015004
MA
Other
Enumeration date
05/18/2022
Last updated
06/16/2023
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