Matin Mohammad, MD
Physical Medicine & Rehabilitation in Lebanon, PA. Individual provider (NPI-1).
NPI number1174084123
StatusActive
Last updated in NPPESOct 23, 2024
Details
- NPI
- 1174084123
- Entity type
- Individual (NPI-1)
- Name
- Matin Mohammad
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2019
- Certification date
- Oct 23, 2024
- Last updated
- Oct 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | MD481663 | PA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
30 N 4th StLebanon, PA 17046-5606
Phone 717-270-7500
Mailing address
601 Memory LnYork, PA 17402-2231
Other practice locations
10101 Ridgegate Pkwy
Lone Tree, CO 80124-5522
Lone Tree, CO 80124-5522
Phone 720-875-2889
1621 N Cedar Crest Blvd
Allentown, PA 18104-2304
Allentown, PA 18104-2304
Phone 610-402-3300
169 Martin Ave
Ephrata, PA 17522-1734
Ephrata, PA 17522-1734
Phone 717-738-6797
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