Individual provider · NPI-1
Dr. Mohammad Abualganam, MD
Internal Medicine · Orlando, FL
NPI number1972006781
StatusActive
Last updated in NPPESApr 20, 2022
Details
- NPI
- 1972006781
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mohammad Abualganam
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 18, 2018
- Certification date
- Apr 20, 2022
- Last updated
- Apr 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | ME155799 | FL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
9400 Turkey Lake RdOrlando, FL 32819-8001
Phone 321-842-8505 · Fax 321-843-8550
Mailing address
9400 Turkey Lake RdOrlando, FL 32819-8001
Phone 321-842-8505 · Fax 321-843-8550
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