Individual provider · Type 1 NPI

Ibtisam Mohammad

Otolaryngology Physician · Augusta, GA

NPI number 1356239305 Active

Practice location

1120 15th St # BP-4109
Augusta, GA 30912-0006

Call (706) 721-6100 Map

Specialties and licenses

TaxonomyCodeLicense
Otolaryngology Physician Primary 207Y00000X18013 (GA)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1356239305

Ibtisam Mohammad's National Provider Identifier is 1356239305, issued on Jun 26, 2025. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Augusta, GA. The record was last updated on Jun 26, 2025.