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Mohamed Mahfoud, MD
Student in an Organized Health Care Education/Training Program in Lawrenceville, Georgia
NPI 1194135939

Mohamed Mahfoud is a Student in an Organized Health Care Education/Training Program based in Suwanee, GA. Mohamed Mahfoud practices in Lawrenceville, GA and has the professional credentials of MD. The NPI Number for Mohamed Mahfoud is 1194135939 and holds a License No. 95074 (Georgia).

The current practice location address for Mohamed Mahfoud is 1000 Medical Center Blvd, Lawrenceville, GA and can be reached out via phone at 678-312-2419.

Location: 1000 Medical Center Blvd, Lawrenceville, GA, 30024-5604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194135939
Provider Name
Mohamed Mahfoud
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Medical Center Blvd, Lawrenceville, GA, 30024-5604
Phone Number
678-312-2419
Fax Number
Provider Enumeration Date
05/01/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
95074 01 GA GA STATE MEDICAL BOARD
institution
Provider Business Practice Location Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-2419
Fax Number
person
Provider Business Mailing Address Details
Address
1000 Medical Center Blvd
City
Lawrenceville
State
Georgia
Zip
30046-7694
Phone Number
678-312-2419
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Critical Care Medicine
Taxonomy
207RC0200X
License No.
01081564A (Indiana)
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
95074 (Georgia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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