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Individual

DR. MOHAMED A. MOHAMED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 MONROE AVENUE NW, STE 104, GRAND RAPIDS, MI 49503-1470
(616) 366-4234
(855) 548-4481
Mailing address
8348 LITTLE ROAD, STE 149, NEW PORT RICHEY, FL 34654-4919
(616) 366-4234
(855) 548-4481

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
4301510896
MI
2084N0400X
Neurology Physician
4301510896
MI
208D00000X
General Practice Physician
Primary
4301510896
MI

Other

Enumeration date
03/25/2021
Last updated
03/17/2024
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