Healthcare Provider Details

I. General information

NPI: 1932167194
Provider Name (Legal Business Name): MOHAB B FOAD M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 04/06/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E-BUSINESS WAY SUITE A
CINCINNATI OH
45241
US

IV. Provider business mailing address

6480 HARRISON AVENUE SUITE 201
CINCINNATI OH
45247
US

V. Phone/Fax

Practice location:
  • Phone: 513-354-3700
  • Fax: 513-354-3705
Mailing address:
  • Phone: 513-354-3700
  • Fax: 513-354-7651

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number35083782
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number35083782
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: