DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1578519286

NPI Code Detail

MEDICARE: DR. MOHAMMAD N AL SHROOF M.D.

MEDICARE: DR. MOHAMMAD N AL SHROOF M.D.

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
1	207R00000X	Internal Medicine Physician	045158	GA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	511I110627	OTHER		MEDICARE PTAN
10	110237442	OTHER	GA	MEDICARE RAILROAD#

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	614236400	OTHER	GA	DEPT OF LABOR
4	1578519286	OTHER		NPI
5	468916	OTHER	GA	WELLCARE
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	867194728A	OTHER	GA	GBHC

General Provider Information

NPI Number	:	1578519286
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MOHAMMAD N AL SHROOF M.D.

Provider Business Mailing Address
First Line	:	2054 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3634
Country	:	US
Telephone Number	:	478-918-0770
Fax Number	:	478-918-0771

Provider Business Practice Location Address
First Line	:	2054 WATSON BLVD
Second Line	:
City	:	WARNER ROBINS
State	:	GA
Zip	:	31093-3634
Country	:	US
Telephone Number	:	478-918-0770
Fax Number	:	478-918-0771

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/25/2006
Last Update Date	:	05/10/2024

Similar Medicare Providers

1639018633 — KIERRA CORBIN
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-918-0770
Practice Fax:

1043260383 — AMIE RENEE DANIELS PA
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-918-0770
Practice Fax: 478-918-0771

1861448110 — MOKHTAR HACENA MD
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-918-0770
Practice Fax: 478-918-0771

1366484677 — ROBINS MEDICAL ASSOCIATES
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-918-0770
Practice Fax: 478-918-0771

1649289653 — GERALD PETERMAN NP
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-633-2097
Practice Fax: 478-633-7836

1013179670 — HOUSTON MEDICAL ASSOCIATES, LLC
Practice Location Address:

2054 WATSON BLVD
WARNER ROBINS, GA
31093-3634

Practice Phone: 478-918-0770
Practice Fax: 478-918-0771

Directions to “ DR. MOHAMMAD N AL SHROOF M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.