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NPI Code Detail

MEDICARE: DR. ABDUL ATEEQ MOHAMMAD DDS

MEDICARE: DR. ABDUL ATEEQ MOHAMMAD DDS
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
1122300000XDentist40579TX

General Provider Information

NPI Number : 1679317267
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABDUL ATEEQ MOHAMMAD DDS
Provider Business Mailing Address
First Line : 8410 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5616
Country : US
Telephone Number : 832-924-2666
Fax Number :
Provider Business Practice Location Address
First Line : 8410 FONDREN RD
Second Line :
City : HOUSTON
State : TX
Zip : 77074-5616
Country : US
Telephone Number : 832-924-2666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2024
Last Update Date : 06/19/2024

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