Mohamed Diab, M.D.
Internal Medicine in Rochester, NY. Individual provider (NPI-1).
NPI number1336765718
StatusActive
Last updated in NPPESFeb 29, 2024
Details
- NPI
- 1336765718
- Entity type
- Individual (NPI-1)
- Name
- Mohamed Diab
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 22, 2020
- Certification date
- Feb 29, 2024
- Last updated
- Feb 29, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | 1016657 | MA | Yes |
| 207R00000X | Internal Medicine | 32756-01 | NY | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
1555 Long Pond RdRochester, NY 14626-4122
Phone 585-723-7746 · Fax 585-723-7834
Mailing address
1555 Long Pond RdRochester, NY 14626-4122
Phone 585-723-7746 · Fax 585-723-7834
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