Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 200500089 | NC |
N | 111NI0900X | Internist | 200500089 | NC |
Y | 207RH0000X | Hematologist | 200500089 | NC |
N | 207RX0202X | Medical Oncology | 200500089 | NC |
NPI | 1346293784 |
---|---|
Provider Name | Dr. Mohamed Kamel Mohamed |
First Address | Atlanta, GA 30384-5633 |
Second Address | Greensboro, NC 27403-1118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/05/2006 |
Last Update Date | 20/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
13913 | BCBS NC (01) | NC |
5900956 | (05) | NC |
7539701 | AETNA (01) | NC |
806634 | PARTNERS MEDICARE (01) | NC |
E3678 | MEDCOST (01) | NC |
I32396 | (02) |