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Individual

DR. MOHAMMED BERROU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6701 AIRPORT BLVD STE B135, MOBILE, AL 36608
(251) 633-0573
(251) 633-7367
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34289
AL
207R00000X
Internal Medicine Physician
4301104447
MI
207R00000X
Internal Medicine Physician
MT198624
PA
207RP1001X
Pulmonary Disease Physician
Primary
34289
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
102I2921972
MEDICARE
AL
05
202657
AL
05
202820
AL
05
203231
AL
05
204074
AL
01
3655061
MS MEDICAID
MS
01
4651430
UHC
AL
01
4678634
AETNA
AL
01
511-96402
BCBS
AL
01
511-96403
BCBS
AL
01
511-96404
BCBS
AL
01
511-96405
BCBS
AL
01
9098346
CIGNA HC
AL
01
P01943810
RR MEDICARE
AL
01
Z34094
VIVA HEALTH
AL
Enumeration date
06/20/2011
Last updated
05/24/2018
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