Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204E00000X | Oral & Maxillofacial Surgeon | DN24026 | FL |
Y | 208200000X | Surgeon | ME138252 | FL |
Y | 208600000X | Surgeon | ME138252 | FL |
NPI | 1376866186 |
---|---|
Provider Name | Dr. Mohammad Okasha |
First Address | Tampa, FL 33609-3851 |
Second Address | Brooklyn, NY 11220 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2010 |
Last Update Date | 29/01/2021 |