Active NPI
Mohammed I Alhatou, M.D.
- Neurology Physician
- Orangeburg, SC
National Provider Identifier
1124057245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 22951
- Practice address
- 2850 Pelham CT
Orangeburg, SC 29118-1400 - Phone
- (803) 531-8500
- Fax
- (803) 531-7654
- NPI assigned
- Jul 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 22951 | SC | Primary |
Addresses
Primary practice location
2850 Pelham CT
Orangeburg, SC 29118-1400
Mailing address
2850 Pelham CT
Orangeburg, SC 29118-1400
Phone (803) 531-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22951 | SC | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354060800000",
"number": "1124057245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2850 PELHAM CT",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181400",
"telephone_number": "803-531-8500",
"fax_number": "803-531-7654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2850 PELHAM CT",
"city": "ORANGEBURG",
"state": "SC",
"postal_code": "291181400",
"telephone_number": "803-531-8500",
"fax_number": "803-531-7654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALHATOU",
"first_name": "MOHAMMED",
"middle_name": "I",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-01",
"last_updated": "2012-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "SC",
"license": "22951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orangeburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.