Healthcare Provider Details

I. General information

NPI: 1255279873
Provider Name (Legal Business Name): MOUHAMAD SAFOUH PASA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: MOUHAMAD SAFOUH MOUSTAFA MD

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287
US

IV. Provider business mailing address

ZONE 38-STREET 803-BUILDING 29 SEVEN PEARLS COMPOUND 29 APT: 512
AISADD DOHA
00000
QA

V. Phone/Fax

Practice location:
  • Phone: 410-955-5080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: