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Individual

MOHAMMAD TINAWI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01071538
IN
207RN0300X
Nephrology Physician
Primary
4301056707
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201090420
IN
05
4257290
MI
Enumeration date
09/06/2006
Last updated
02/14/2014
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