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General NPI Number Information
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NPI Number | 1093266041
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Entity Type | Organization
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Legal Business Name | MOHAMMAD SHAHMOHAMADY MDPA
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 975 BAPTIST WAY SUITE 102
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City | HOMESTEAD
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State | FL
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Zip | 33033-7600
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Country | US
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Telephone | 305-247-1100
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Fax | 305-245-2328
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Provider Business Mailing Address
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Address Line | PO BOX 862206
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City | ORLANDO
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State | FL
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Zip | 32886-2206
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Country | US
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Telephone | 305-380-1626
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Fax | 305-386-1635
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Authorized Official
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Title or Position | OWNER
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Name | DR. MOHAMMAD SHAHMOHAMADY
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Credential | M,D,
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Telephone | 305-247-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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