=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235081209
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MOHAMAD ALI KESSERWAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/12/2026
-----------------------------------------------------
Last Update Date | 02/12/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | HAMILTON GENERAL HOSPITAL 237 BARTON ST. EAST,
-----------------------------------------------------
City | HAMILTON
-----------------------------------------------------
State | ONTARIO
-----------------------------------------------------
Zip | L8L2X2
-----------------------------------------------------
Country | CA
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3 MORAINE HILL DR.
-----------------------------------------------------
City | SCARBOROUGH
-----------------------------------------------------
State | ONTARIO
-----------------------------------------------------
Zip | M1T2A1
-----------------------------------------------------
Country | CA
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 390200000X
-----------------------------------------------------
Taxonomy Name | Student in an Organized Health Care Education/Training Program
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------