Individual provider · Type 1 NPI
Mohamed A. Mohamed, MD
General Practice Physician · Grand Rapids, MI
NPI number
1972180131
Active
Practice location
600 Monroe Avenue NW, Ste 104
Grand Rapids, MI 49503-1470
Fax (855) 548-4481
Mailing address
8348 Little Rd Ste 149
New Port Richey, FL 34654-4919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 4301510896 (MI) |
| Neurology Physician | 2084N0400X | 4301510896 (MI) |
| General Practice Physician | 208D00000X | 01096102A (IN) |
| General Practice Physician Primary | 208D00000X | 4301510896 (MI) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
2 other providers at this address
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About NPI 1972180131
Mohamed A. Mohamed, MD's National Provider Identifier is 1972180131, issued on Mar 25, 2021. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 29, 2026.