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General NPI Number Information
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NPI Number | 1629137583
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Entity Type | Organization
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Legal Business Name | EHAB A. MOHAMED MEDICAL CORPORATION, INC.
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 9735 WILSHIRE BLVD SUITE 414
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-276-5890
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Fax | 310-276-5892
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Provider Business Mailing Address
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Address Line | 9735 WILSHIRE BLVD SUITE 414
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2107
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Country | US
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Telephone | 310-276-5890
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Fax | 310-276-5892
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Authorized Official
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Title or Position | OWNER
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Name | DR. EHAB A MOHAMED
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Credential | M.D.
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Telephone | 310-276-5890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | A72575
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License Number State | CA
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