Abdelrahman H Mohamed, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

203274325 Issued in TN

Practice address

1907 W. Morris Blvd.
Suite A400
Morristown, TN 37813

Phone

(423) 587-7144

Fax

(423) 587-7145

NPI assigned

Jul 21, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hamblen Neuroscience Center, PC

  • Specialist
  • Knoxville, TN
  • NPI 1164544938
  NPD (past) Authorized official
• Hamblen Neuroscience Center, PC

  • Specialist
  • Rogersville, TN
  • NPI 1265554026
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1528088325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1907 W. MORRIS BLVD.",
            "address_2": "SUITE A400",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-587-7144",
            "fax_number": "423-587-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1907 W. MORRIS BLVD.",
            "address_2": "SUITE A400",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "37813",
            "telephone_number": "423-587-7144",
            "fax_number": "423-587-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOHAMED",
        "first_name": "ABDELRAHMAN",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TN",
            "license": "203274325",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3853013",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jill Minx, OTR/L
• Kellie Brooke Miralles
• Reinaldo Felix Miralles
• Heather Nicole Mischlich, CNM
• David Mitchell, PHARMD
• Pascha Moles
• Linda Gail Monteith, MD
• Amanda Montgomery, H.I.S.
• Zinamong Monzon-Benavides, DDS
• Edward Herbert Moody Jr., DDS

• Specialist in Morristown, TN
• Providers in Morristown, TN by specialty
• Specialist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.