Mawaldi, Mohamad Al

Mawaldi, Mohamad Al is an individual health care provider with primary practice located at 4440 W 95Th St , Oak Lawn IL 60453-2600. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Transplant Hepatology. Allopathic & Osteopathic Physicians / Transplant Hepatology is his primary health care specialty. Mawaldi, Mohamad Al can be contacted via phone (414) 649-7927.

Contact Information

Primary practice address
4440 W 95Th St Oak Lawn IL 60453-2600
Phone: (414) 649-7927
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 51802 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 31721 Arizona
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X 51805 Wisconsin
Allopathic & Osteopathic Physicians / Transplant Hepatology 207RT0003X 036-108328 Illinois

Profile Details

NPI number 1568429215
LBN Legal business name Mawaldi, Mohamad Al
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1568429215 NPPES
Arizona MEDICAID 796823-01
Arizona MEDICAID 100001354

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