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Individual

BASMA ABDALLA MOHAMED

Active
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Individual

BASMA ABDALLA MOHAMED

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME123677
FL
390200000X
Student in an Organized Health Care Education/Training Program
57-015872
OH
390200000X
Student in an Organized Health Care Education/Training Program
TRN17273
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015137700
FL
Enumeration date
08/03/2009
Last updated
08/18/2015
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