Individual
MOHAMMED ADEL MOHAMMED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP, LP, MPS
Contact information
Practice address
959 S INDIANA AVE, SELLERSBURG, IN 47172-1639
(877) 234-3266
(877) 455-1021
Mailing address
PO BOX 2773, CLARKSVILLE, IN 47131-2773
(812) 736-2211
(877) 455-1021
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
2019027175
MO
242T00000X
Perfusionist
214
WI
242T00000X
Perfusionist
Primary
214000415
IL
242T00000X
Perfusionist
FPF02000199
TX
242T00000X
Perfusionist
PRF000451
PA
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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