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1619071354

NPI Code Detail

MEDICARE: MR. MOHEB MICHEAL MOSA MBCHB MD

MEDICARE: MR. MOHEB MICHEAL MOSA MBCHB 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
1	207L00000X	Anesthesiology Physician	D0054453	MD
2	207L00000X	Anesthesiology Physician	ME151187	FL

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

General Provider Information

NPI Number	:	1619071354
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHEB MICHEAL MOSA MBCHB MD

Provider Business Mailing Address
First Line	:	16699 COLLINS AVE APT 1408
Second Line	:
City	:	SUNNY ISLES BEACH
State	:	FL
Zip	:	33160-5415
Country	:	US
Telephone Number	:	301-697-4047
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 NW 170TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-5576
Country	:	US
Telephone Number	:	305-651-1100
Fax Number	:

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

Provider Enumeration Date	:	09/12/2006
Last Update Date	:	08/10/2023

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Directions to “ MR. MOHEB MICHEAL MOSA MBCHB MD” 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.

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