Mohammad Ebraheem, MD

Pediatrics, Pediatric Critical Care Medicine in Palo Alto, CA. Individual provider (NPI-1).

NPI number1295069375

StatusActive

Last updated in NPPESApr 11, 2024

Details

NPI: 1295069375
Entity type: Individual (NPI-1)
Name: Mohammad Ebraheem
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: Sep 23, 2009
Certification date: Apr 11, 2024
Last updated: Apr 11, 2024

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
2080P0203X	Pediatrics, Pediatric Critical Care Medicine	C174844	CA	Yes
208000000X	Pediatrics	P1988	TX
208000000X	Pediatrics	C174844	CA
2080P0203X	Pediatrics, Pediatric Critical Care Medicine	ME129660	FL

Practice location

725 Welch Rd
Palo Alto, CA 94304-1601

Phone 650-497-8000

Mailing address

725 Welch Rd
Palo Alto, CA 94304-1601

Phone 650-497-8000

Other practice locations

1600 Sw Archer Rd
Box 100296
Gainesville, FL 32610-0296

Phone 352-265-0462

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pediatric Critical Care Medicine Physician providers in Palo Alto, CA

All 69 Pediatric Critical Care Medicine Physician providers in Palo Alto · All 8,180 providers in Palo Alto

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