Ahmad Mohamad, m.d
Internal Medicine, Nephrology in Springfield, IL. Individual provider (NPI-1).
NPI number1891071007
StatusActive
Last updated in NPPESOct 3, 2022
Details
- NPI
- 1891071007
- Entity type
- Individual (NPI-1)
- Name
- Ahmad Mohamad
- Credential
- m.d
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 1, 2011
- Certification date
- Oct 3, 2022
- Last updated
- Oct 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 036160127 | IL | Yes |
| 207R00000X | Internal Medicine | 2020020200 | MO | |
| 207R00000X | Internal Medicine | 125.060233 | IL |
Practice location
350 W Carpenter StSpringfield, IL 62702-4902
Phone 217-528-7541
Mailing address
Po Box 19248Springfield, IL 62794-9248
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