Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | BP10039777 | TX |
N | 208600000X | Surgeon | BP10039777 | TX |
Y | 2086S0120X | Pediatric Surgery | 283841 | MA |
NPI | 1558643437 |
---|---|
Provider Name | Somala Mohammed |
First Address | Boston, MA 02115 |
Second Address | Boston, MA 02115 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/09/2011 |
Last Update Date | 01/08/2020 |