Mousa, Mousa Elhammali

Mousa, Mousa Elhammali is an individual health care provider with primary practice located at 1136 Cleveland Ave Suite 410, East Point GA 30344-3618. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Mousa, Mousa Elhammali can be contacted via phone (404) 762-6140.

Contact Information

Primary practice address
1136 Cleveland Ave Suite 410 East Point GA 30344-3618
Phone: (404) 762-6140
Fax: (404) 762-7922
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 03574 Georgia

Profile Details

NPI number 1407811193
LBN Legal business name Mousa, Mousa Elhammali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated May 16th, 2013 - about 12 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 1407811193 NPPES
Georgia MEDICAID 000590554J
Georgia MEDICAID 00590554D

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