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NPI Code Detail

MEDICARE: MOHAMMAD ALI AL-BATAINEH MD

MEDICARE:   MOHAMMAD ALI AL-BATAINEH  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD420870PA
2207RC0000XCardiovascular Disease PhysicianMD420870PA
3207RC0001XClinical Cardiac Electrophysiology PhysicianMD420870PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295783413
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD ALI AL-BATAINEH MD
Provider Business Mailing Address
First Line : 2945 N 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-2802
Country : US
Telephone Number : 267-457-3977
Fax Number : 267-457-3972
Provider Business Practice Location Address
First Line : 2945 N 5TH ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19133-2802
Country : US
Telephone Number : 267-457-3977
Fax Number : 267-457-3972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 08/29/2014

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