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NPI Code Detail

MEDICARE: MOHAMMAD MOHAMMAD DPM

MEDICARE: MOHAMMAD MOHAMMAD DPM
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
1213E00000XPodiatrist36-003305MOH

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 : 1619078292
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMMAD MOHAMMAD DPM
Provider Business Mailing Address
First Line : 2575 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3333
Country : US
Telephone Number : 614-274-7448
Fax Number : 614-274-4498
Provider Business Practice Location Address
First Line : 2575 W BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43204-3333
Country : US
Telephone Number : 614-274-7448
Fax Number : 614-274-4498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2006
Last Update Date : 07/29/2024

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Directions to “ MOHAMMAD MOHAMMAD DPM” Practice Location

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