Sana Ahmed Mohammed, PA-C
Individual provider Active NPI Physician Assistant · Palatine, IL
NPI 1124465018 · NPPES record last updated May 31, 2013
Key facts
- NPI
- 1124465018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085.004379 (IL)
- Practice address
- 1585 S Kembley Ave
Palatine, IL 60067-1211 - Phone
- (304) 952-8423
- NPI assigned
- May 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085.004379 | IL | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085.004379 | IL | Yes |
Addresses
Primary practice location
1585 S Kembley Ave
Palatine, IL 60067-1211
Mailing address
1585 S Kembley Ave
Palatine, IL 60067-1211
Phone (304) 952-8423
Other providers in Palatine, IL
- Aeg Enterprises LLC
- Ag Wellness Group LLC
- Reena Aggarwal
- Agmb Healthcare Group LLC
- Keaton Elizabeth Aguilera
- Emaad Ahmed
- Shaofen Ai
- Alan T Krakora, DDS, PC
- Theresa Marie Albers
- Aliya of Palatine LLC
All providers in Palatine, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 31, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.