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NPI Code Detail

MEDICARE: DR. MOHAMMAD MAHMOUD MOHAMMAD MD

MEDICARE: DR. MOHAMMAD MAHMOUD MOHAMMAD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD28695ME
22083C0008XClinical Informatics PhysicianBP10086685TX
3207Q00000XFamily Medicine PhysicianBP10086685TX

General Provider Information

NPI Number : 1134975634
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD MAHMOUD MOHAMMAD MD
Provider Business Mailing Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-313-4200
Fax Number :
Provider Business Practice Location Address
First Line : 1600 PROVIDENCE DR
Second Line :
City : WACO
State : TX
Zip : 76707-2261
Country : US
Telephone Number : 254-313-4200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2024
Last Update Date : 02/14/2026

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