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NPI Code Detail

MEDICARE: MOHAMMAD HANI MOHAMMAD ALMOMANI MBBS

MEDICARE:   MOHAMMAD HANI MOHAMMAD ALMOMANI  MBBS
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
12084N0400XNeurology Physician35966WV
22084N0400XNeurology PhysicianBP10079474TX

General Provider Information

NPI Number : 1588387112
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD HANI MOHAMMAD ALMOMANI MBBS
Provider Business Mailing Address
First Line : 327 MEDICAL PARK DR STE 107
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 304-933-3843
Fax Number :
Provider Business Practice Location Address
First Line : 327 MEDICAL PARK DR STE 107
Second Line :
City : BRIDGEPORT
State : WV
Zip : 26330-9006
Country : US
Telephone Number : 304-933-3843
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2022
Last Update Date : 06/10/2026

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Directions to “ MOHAMMAD HANI MOHAMMAD ALMOMANI MBBS” Practice Location

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