Mohammad A Almomani, M.D.

Individual provider Active NPI Pediatrics Physician · Sellersville, PA

NPI 1497774251 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497774251
Entity type
Individual (NPI type 1)
Primary specialty
Pediatrics Physician 208000000X
License
MD056505L (PA)
Practice address
700 Lawn Ave
Grandview Hospital-Chop Connection
Sellersville, PA 18960-1548
Phone
(215) 459-4082
Fax
(215) 561-0959
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD056505LPAMDPediatrics Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD056505L PA Yes

Addresses

Primary practice location

700 Lawn Ave
Grandview Hospital-Chop Connection
Sellersville, PA 18960-1548

Mailing address

100 N 20TH St
Chop Suite 301
Philadelphia, PA 19103-1443
Phone (215) 567-2422

Other identifiers

IdentifierTypeStateIssuer
7458509MedicaidNJ
00159810MedicaidPA

Other providers in Sellersville, PA

All providers in Sellersville, PA · Pediatrics Physician in Pennsylvania

Sources for this page

Verify at the official NPI Registry.