Mohamed, Mohamed G

Mohamed, Mohamed G is an individual health care provider with primary practice located at 1914 State Road 44 , New Smyrna Beach FL 32168-8345. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Mohamed, Mohamed G can be contacted via phone (386) 428-3241.

Contact Information

Primary practice address
1914 State Road 44 New Smyrna Beach FL 32168-8345
Phone: (386) 428-3241
Fax: (844) 295-1379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X ME116369 Florida
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X 252170 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD430130 Pennsylvania

Profile Details

NPI number 1386721579
LBN Legal business name Mohamed, Mohamed G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Feb 17th, 2026 - about 8 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 1386721579 NPPES
New York MEDICAID 03080848
New York Other ME116369

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