Mohamad Abboud, DO
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Philadelphia, PA
NPI 1669212932 · NPPES record last updated May 25, 2024
Key facts
- NPI
- 1669212932
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5501 Old York Rd
Philadelphia, PA 19141-3018 - Phone
- (215) 456-6500
- NPI assigned
- May 25, 2024
- 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 Osteopathy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | PA | Yes |
Addresses
Primary practice location
5501 Old York Rd
Philadelphia, PA 19141-3018
Mailing address
5501 Old York Rd
Philadelphia, PA 19141-3018
Phone (215) 456-6500
Other providers in Philadelphia, PA
- Megan E Abbott
- Patricia Kathleen Abbott
- Tara Abbott
- Joseph Albert Abboud
- Michael Elias Abboud
- Soo H Abboud
- Sara A Abbruzzi
- Stephanie B Abbuhl
- Abby Nursing LLC
- Abc at Home Care
All providers in Philadelphia, PA · Student in an Organized Health Care Education/Training Program in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2024. 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.