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NPI Code Detail

MEDICARE: DR. MOHAMMAD A GAD JR. M.D.

MEDICARE: DR. MOHAMMAD A GAD JR. 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 Physician35079855OH
2207R00000XInternal Medicine Physician01095964AIN

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 : 1801891692
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMMAD A GAD JR. M.D.
Provider Business Mailing Address
First Line : 2739 NAVARRE AVE
Second Line : STE 304
City : OREGON
State : OH
Zip : 43616-8200
Country : US
Telephone Number : 419-693-4400
Fax Number : 419-693-4800
Provider Business Practice Location Address
First Line : 2001 W 86TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1902
Country : US
Telephone Number : 317-338-2345
Fax Number : 317-583-3099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/17/2005
Last Update Date : 05/28/2025

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