Provider Demographics
NPI:1073561791
Name:MOHAMMAD, FEROZE JOHN (PA-C)
Entity Type:Individual
Prefix:MR
First Name:FEROZE
Middle Name:JOHN
Last Name:MOHAMMAD
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Gender:M
Credentials:PA-C
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Mailing Address - Street 1:200 SWEETWATER DR
Mailing Address - Street 2:L131
Mailing Address - City:DOTHAN
Mailing Address - State:AL
Mailing Address - Zip Code:36305-3210
Mailing Address - Country:US
Mailing Address - Phone:334-333-4742
Mailing Address - Fax:
Practice Address - Street 1:BLDG 301 ANDREWS AVENUE
Practice Address - Street 2:
Practice Address - City:FORT RUCKER
Practice Address - State:AL
Practice Address - Zip Code:36362
Practice Address - Country:US
Practice Address - Phone:334-255-7387
Practice Address - Fax:334-255-7716
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant