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NPI Code Detail

MEDICARE: DR. MOHAMMED EMAM M.D.

MEDICARE: DR. MOHAMMED EMAM 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
12081S0010XSports Medicine (Physical Medicine & Rehabilitation) Physician56207CT
2208100000XPhysical Medicine & Rehabilitation PhysicianD89010MD

General Provider Information

NPI Number : 1700152782
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMED EMAM M.D.
Provider Business Mailing Address
First Line : 9910 FRANKLIN SQUARE DR STE 2110
Second Line :
City : BALTIMORE
State : MD
Zip : 21236-4902
Country : US
Telephone Number : 410-933-6423
Fax Number :
Provider Business Practice Location Address
First Line : 6201 GREENLEIGH AVE FL 2
Second Line :
City : MIDDLE RIVER
State : MD
Zip : 21220-2004
Country : US
Telephone Number : 410-933-2704
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2012
Last Update Date : 10/28/2024

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