Individual
DR. OTHMAN MAHMOUD MOHAMMAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 S MATTIS AVE, CHAMPAIGN, IL 61821-5923
(217) 365-2855
(217) 365-2856
Mailing address
611 W PARK ST, URBANA, IL 61801-2501
(217) 383-3311
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
036.166927
IL
2084P0800X
Psychiatry Physician
036166927
IL
2084P0800X
Psychiatry Physician
066441
CT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036.166927
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
036166927
IL
2084P0804X
Child & Adolescent Psychiatry Physician
066441
CT
2084P0804X
Child & Adolescent Psychiatry Physician
261296
MA
Other
Enumeration date
07/29/2009
Last updated
04/02/2026
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