Suede, Mohamad Maher
Suede, Mohamad Maher is an sole proprietor health care provider with primary practice located at 272 Main St , Manchester CT 06042-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Suede, Mohamad Maher can be contacted via phone (860) 432-2100.Contact Information
Primary practice address
272 Main St
Manchester CT 06042-3536
Phone: (860) 432-2100
Fax: (860) 432-5330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 036834 | Connecticut |
Profile Details
| NPI number | 1871525279 |
|---|---|
| LBN Legal business name | Suede, Mohamad Maher |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2006 |
| Last updated | Aug 7th, 2013 - about 13 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 | 1871525279 | NPPES |
| Connecticut | Other | 2V6079 | OXFORD |
| Connecticut | Other | 036834 | OXFORD |
| Connecticut | MEDICAID | 00136834000 | OXFORD |
| Connecticut | Other | 010036834CT01 | OXFORD |
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