Mohammed, Mohammed S

Mohammed, Mohammed S is an individual health care provider with primary practice located at 3640 Nw Samaritan Dr Suite 250, Corvallis OR 97330-3784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mohammed, Mohammed S can be contacted via phone (541) 753-7473.

Contact Information

Primary practice address
3640 Nw Samaritan Dr Suite 250 Corvallis OR 97330-3784
Phone: (541) 753-7473
Fax: (451) 753-7364
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD17525 Oregon

Profile Details

NPI number 1578544177
LBN Legal business name Mohammed, Mohammed S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2005
Last updated Jul 8th, 2007 - about 19 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 1578544177 NPPES
Oregon MEDICAID 034079

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