Aboulfarag, Mahmoud Mohamed
Aboulfarag, Mahmoud Mohamed is an individual health care provider with primary practice located at 11201 Shaker Blvd Ste 136 , Cleveland OH 44104-3833. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Aboulfarag, Mahmoud Mohamed can be contacted via phone (216) 368-7238.Contact Information
Primary practice address
11201 Shaker Blvd Ste 136
Cleveland OH 44104-3833
Phone: (216) 368-7238
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 30.026959 | New York |
Profile Details
| NPI number | 1174251425 |
|---|---|
| LBN Legal business name | Aboulfarag, Mahmoud Mohamed |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2022 |
| Last updated | Aug 12th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174251425 | NPPES |
| Oregon | MEDICAID | 4399740 |
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