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NPI Code Detail

MEDICARE: DR. KUMAIL MOHAMED M.D.

MEDICARE: DR. KUMAIL MOHAMED 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
1207R00000XInternal Medicine PhysicianME133259FL
2208M00000XHospitalist PhysicianME133259FL

General Provider Information

NPI Number : 1669853636
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KUMAIL MOHAMED M.D.
Provider Business Mailing Address
First Line : 6149 CHANCELLOR DR
Second Line :
City : ORLANDO
State : FL
Zip : 32809-5680
Country : US
Telephone Number : 407-352-2542
Fax Number : 407-352-2547
Provider Business Practice Location Address
First Line : 601 E ROLLINS ST
Second Line :
City : ORLANDO
State : FL
Zip : 32803-1248
Country : US
Telephone Number : 407-464-9516
Fax Number : 407-464-9519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2015
Last Update Date : 03/14/2023

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