Provider Demographics
NPI:1083484646
Name:SWARRAY, MOHAMED LAMIN
Entity Type:Individual
Prefix:MR
First Name:MOHAMED
Middle Name:LAMIN
Last Name:SWARRAY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4331 TALMADGE CIR
Mailing Address - Street 2:
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4398
Mailing Address - Country:US
Mailing Address - Phone:571-723-7209
Mailing Address - Fax:
Practice Address - Street 1:21620 N 26TH AVE STE 250
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-2417
Practice Address - Country:US
Practice Address - Phone:480-535-9153
Practice Address - Fax:602-297-6908
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-04
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health