Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MT185144 | PA |
N | 111NI0900X | Internist | MT185144 | PA |
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 32369 | NE |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD043505 | DC |
N | 207RC0000X | Internist - Cardiovascular Disease | 50074 | MN |
NPI | 1851504476 |
---|---|
Provider Name | Selma Mohammed |
First Address | Omaha, NE 68124-2319 |
Second Address | Omaha, NE 68124-2319 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2007 |
Last Update Date | 05/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
936688000 | (05) | MN |