Al Shroof, Mohammad N
Al Shroof, Mohammad N is an individual health care provider with primary practice located at 2054 Watson Blvd , Warner Robins GA 31093-3634. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Al Shroof, Mohammad N can be contacted via phone (478) 918-0770.Contact Information
Primary practice address
2054 Watson Blvd
Warner Robins GA 31093-3634
Phone: (478) 918-0770
Fax: (478) 918-0771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 045158 | Georgia |
Profile Details
| NPI number | 1578519286 |
|---|---|
| LBN Legal business name | Al Shroof, Mohammad N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | May 10th, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578519286 | NPPES |
| Georgia | MEDICAID | 000807155I | |
| Georgia | MEDICAID | 000807155R | |
| Georgia | Other | 614236400 | |
| Georgia | Other | 1578519286 | |
| Georgia | Other | 468916 | |
| Georgia | MEDICAID | 000807155AB | |
| Georgia | Other | 511I110627 | |
| Georgia | MEDICAID | 000807155AC | |
| Georgia | Other | 867194728A | |
| Georgia | Other | 110237442 |
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