Eisa, Mohamed

Eisa, Mohamed is an individual health care provider with primary practice located at 1000 East Genesee St. Suite 205, Syracuse NY 13210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Eisa, Mohamed can be contacted via phone (315) 464-1600.

Contact Information

Primary practice address
1000 East Genesee St. Suite 205 Syracuse NY 13210
Phone: (315) 464-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 334349 New York
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X MD478609 Pennsylvania

Profile Details

NPI number 1558713057
LBN Legal business name Eisa, Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Mar 18th, 2026 - about 7 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558713057 NPPES
Other 15667230 CAQH
MEDICAID 104031222 CAQH

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