Individual provider · Type 1 NPI

Mohammad Ahmad Ennab, MD

Student in an Organized Health Care Education/Training Program · Staten Island, NY

NPI number 1376335067 Active · reactivated Aug 26, 2026

Practice location

475 Seaview Avenue, Department Of Medicine
Staten Island, NY 10305

Call (718) 226-9000 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1376335067

Mohammad Ahmad Ennab, MD's National Provider Identifier is 1376335067, issued on May 20, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Staten Island, NY. The record was last updated on Aug 26, 2026.