MEDICARE: MOHAMED O KASEB RPH

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
1	183500000X	Pharmacist	46943	TX
2	183500000X	Pharmacist	5302033413	MI

General Provider Information

NPI Number	:	1205164423
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMED O KASEB RPH

Provider Business Mailing Address
First Line	:	2623 EDGEFIELD LAKES DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-6007
Country	:	US
Telephone Number	:	248-562-8172
Fax Number	:

Provider Business Practice Location Address
First Line	:	8098 WESTHEIMER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77063-2902
Country	:	US
Telephone Number	:	713-781-4314
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/29/2009
Last Update Date	:	11/29/2009

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Directions to “ MOHAMED O KASEB RPH” Practice Location

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