Mannaa, Mohannad Mohammad

Mannaa, Mohannad Mohammad is an individual health care provider with primary practice located at 1 Childrens Pl Div Ped Allergy/Immuno/Pulmo, Saint Louis MO 63110-1002. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Pulmonology. Allopathic & Osteopathic Physicians / Pediatric Pulmonology is his primary health care specialty. Mannaa, Mohannad Mohammad can be contacted via phone (314) 454-2694.

Contact Information

Primary practice address
1 Childrens Pl Div Ped Allergy/Immuno/Pulmo Saint Louis MO 63110-1002
Phone: (314) 454-2694
Fax: (314) 454-2515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2022010517 Missouri
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 2022010517 Missouri

Profile Details

NPI number 1861423576
LBN Legal business name Mannaa, Mohannad Mohammad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Apr 25th, 2024 - about 7 months 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 1861423576 NPPES
Missouri MEDICAID 200108532

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