- Practice location
- 1802 S Mattis Ave, Champaign, IL 61821-5923
- Phone
- 217-365-2855
- Fax
- 217-365-2856
- Last updated
- April 2, 2026
Othman Mahmoud Mohammad is a Psychiatry & Neurology, Child & Adolescent Psychiatry based in Champaign, IL. Othman Mahmoud Mohammad practices in Champaign, IL and has the professional credentials of MD. The NPI Number for Othman Mahmoud Mohammad is 1912138660 and holds a License No. 066441 (CT). The current practice location address for Othman Mahmoud Mohammad is 1802 S Mattis Ave, Champaign, IL 61821-5923 and can be reached out via phone at 217-365-2855 and via fax at 217-365-2856.
Provider Profile Details
- NPI Number
- 1912138660
- Provider Name
- Othman Mahmoud Mohammad
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1802 S Mattis Ave, Champaign, IL 61821-5923
- Phone Number
- 217-365-2855
- Fax Number
- 217-365-2856
- Primary Taxonomy
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 29, 2009
- Last Update Date
- April 2, 2026
- Certification Date
- April 2, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1802 S Mattis Ave
Champaign, IL 61821-5923 - City
- Champaign
- State
- Illinois
- Zip
- 61821-5923
- Phone Number
- 217-365-2855
- Fax Number
- 217-365-2856
Provider Business Mailing Address Details
- Address
- 611 W Park St
Urbana, IL 61801-2501 - City
- Urbana
- State
- IL
- Zip
- 61801-2501
- Phone Number
- 217-383-3311
License Information
- License Number (1)
- 066441
- License State (1)
- CT
- Taxonomy (1)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- License Number (2)
- 261296
- License State (2)
- MA
- Taxonomy (2)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X
- License Number (3)
- 036166927
- License State (3)
- IL
- Taxonomy (3)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (4)
- 066441
- License State (4)
- CT
- Taxonomy (4)
- Psychiatry & Neurology, Psychiatry · 2084P0800X
- License Number (5)
- 036166927
- License State (5)
- IL
- Taxonomy (5)
- Psychiatry & Neurology, Child & Adolescent Psychiatry · 2084P0804X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychiatry & Neurology, Child & Adolescent Psychiatry providers near Champaign, IL
View all Psychiatry & Neurology, Child & Adolescent Psychiatry providers in Champaign →Frequently Asked Questions
What is the NPI number of Dr. Othman M Mohammad, MD?
The NPI number of Dr. Othman M Mohammad, MD is 1912138660. It was assigned on July 29, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Othman M Mohammad, MD?
Dr. Othman M Mohammad, MD is registered under the primary taxonomy Psychiatry & Neurology, Child & Adolescent Psychiatry (code 2084P0804X), licensed in CT under license number 066441.
Where does Dr. Othman M Mohammad, MD practice?
The practice location is 1802 S Mattis Ave, Champaign, IL 61821-5923. The office can be reached at 217-365-2855 (phone) or 217-365-2856 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912138660 directly on the NPPES registry website.