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NPI Code Detail

MEDICARE: MOHAMED ABDULHAMID BENHAMMUDA MD

MEDICARE: MOHAMED ABDULHAMID BENHAMMUDA MD
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 Physician35.152305OH

General Provider Information

NPI Number : 1861913329
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ABDULHAMID BENHAMMUDA MD
Provider Business Mailing Address
First Line : 830 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4996
Country : US
Telephone Number : 662-377-6652
Fax Number :
Provider Business Practice Location Address
First Line : 830 S GLOSTER ST
Second Line :
City : TUPELO
State : MS
Zip : 38801-4996
Country : US
Telephone Number : 662-377-6652
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2017
Last Update Date : 07/22/2025

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