Mahfoud, Mohamed

Mahfoud, Mohamed is an individual health care provider with primary practice located at 1000 Medical Center Blvd , Lawrenceville GA 30046-7694. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Mahfoud, Mohamed can be contacted via phone (678) 312-2419.

Contact Information

Primary practice address
1000 Medical Center Blvd Lawrenceville GA 30046-7694
Phone: (678) 312-2419
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 95074 Georgia
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 01081564A Indiana
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 272388 Massachusetts

Profile Details

NPI number 1194135939
LBN Legal business name Mahfoud, Mohamed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2014
Last updated Sep 18th, 2023 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194135939 NPPES
Georgia Other 95074 GA STATE MEDICAL BOARD

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