Kassem, Mohamed

Kassem, Mohamed is an sole proprietor health care provider with primary practice located at 210 Forest Park Cir , Panama City FL 32405-4915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kassem, Mohamed can be contacted via phone (850) 872-0332.

Contact Information

Primary practice address
210 Forest Park Cir Panama City FL 32405-4915
Fax: (850) 769-7717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME91546 Florida

Profile Details

NPI number 1528027356
LBN Legal business name Kassem, Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 21st, 2006
Last updated Mar 3rd, 2015 - about 9 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 1528027356 NPPES
Florida MEDICAID 271651800
Florida Other 52193

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