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1508854589

NPI Code Detail

MEDICARE: MOHAMMED IRSHAD M.D.

MEDICARE: MOHAMMED IRSHAD M.D.

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	207RG0100X	Gastroenterology Physician	34541	IA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00144291	OTHER	IA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	236173	OTHER		MIDLANDS CHOICE
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P00456174	OTHER	IA	RR MC MSC
7	201487	OTHER		IOWA HEALTH SOLUTIONS
8	IA01B1	OTHER		JOHN DEERE HC-RIV. VALLEY
9	097743	OTHER		HEALTH ALLIANCE
10	37072	OTHER		WELLMARK BC/BS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1508854589
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMED IRSHAD M.D.

Provider Business Mailing Address
First Line	:	638 S BLUFF BLVD
Second Line	:
City	:	CLINTON
State	:	IA
Zip	:	52732-4742
Country	:	US
Telephone Number	:	563-244-5900
Fax Number	:	563-244-2801

Provider Business Practice Location Address
First Line	:	638 S BLUFF BLVD
Second Line	:
City	:	CLINTON
State	:	IA
Zip	:	52732-4742
Country	:	US
Telephone Number	:	563-244-5900
Fax Number	:	563-244-2801

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

Provider Enumeration Date	:	10/12/2005
Last Update Date	:	10/02/2008

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Directions to “ MOHAMMED IRSHAD M.D.” Practice Location

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