Healthcare Provider Details

I. General information

NPI: 1053809103
Provider Name (Legal Business Name): MOHAMMED ALOMARI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/24/2018
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2105 E SOUTH BLVD
MONTGOMERY AL
36116-2409
US

IV. Provider business mailing address

198 SAINT PAUL ST APT 5
BROOKLINE MA
02446-7134
US

V. Phone/Fax

Practice location:
  • Phone: 334-288-2100
  • Fax:
Mailing address:
  • Phone: 617-840-0282
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number44470
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: