Faisal, Mohammad A

Faisal, Mohammad A is an individual health care provider with primary practice located at 1283 Sw State Road 47 Suite 104, Lake City FL 32025-0489. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Faisal, Mohammad A can be contacted via phone (386) 758-5985.

Contact Information

Primary practice address
1283 Sw State Road 47 Suite 104 Lake City FL 32025-0489
Phone: (386) 758-5985
Fax: (386) 758-5987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X ME58587 Florida

Profile Details

NPI number 1801866405
LBN Legal business name Faisal, Mohammad A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2006
Last updated May 14th, 2008 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801866405 NPPES
Florida MEDICAID 051283400

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