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NPI Code Detail

MEDICARE: DR. AHMED M MOSALEM M.D

MEDICARE: DR. AHMED M MOSALEM 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 Physician200200055NC
2207R00000XInternal Medicine Physician35089908OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
135089908OTHEROHMEDICAL LICENSE NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730239021
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AHMED M MOSALEM M.D
Provider Business Mailing Address
First Line : 227 VALLEY VIEW DR
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9135
Country : US
Telephone Number : 740-947-7726
Fax Number : 740-947-9354
Provider Business Practice Location Address
First Line : 227 VALLEY VIEW DR
Second Line :
City : WAVERLY
State : OH
Zip : 45690-9135
Country : US
Telephone Number : 740-947-7726
Fax Number : 740-947-9354
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 12/21/2021

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Directions to “ DR. AHMED M MOSALEM M.D” Practice Location

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