Individual
MOHAMMED Y.A. MAHDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
747 N RUTLEDGE ST FL 5, SPRINGFIELD, IL 62702-6700
(217) 545-8000
(217) 545-7305
Mailing address
PO BOX 19639, SPRINGFIELD, IL 62794-9639
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036.177554
IL
390200000X
Student in an Organized Health Care Education/Training Program
BP10082237
TX
Other
Enumeration date
07/17/2023
Last updated
03/10/2026
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