Annaba, Mohammad
Annaba, Mohammad is an individual health care provider with primary practice located at 1266 Highway 515 S , Jasper GA 30143-4872. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Annaba, Mohammad can be contacted via phone (404) 367-3014.Contact Information
Primary practice address
1266 Highway 515 S
Jasper GA 30143-4872
Phone: (404) 367-3014
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 90142 | Georgia |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 90142 | Georgia |
Profile Details
| NPI number | 1962481168 |
|---|---|
| LBN Legal business name | Annaba, Mohammad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2006 |
| Last updated | Feb 2nd, 2024 - about 2 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 | 1962481168 | NPPES |
| Arizona | MEDICAID | 148819-01 |
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