Provider Demographics
NPI:1205383023
Name:MOHAMED, ISMAIL SIDKY (MD)
Entity Type:Individual
Prefix:
First Name:ISMAIL
Middle Name:SIDKY
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:MD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:DEPARTMENT OF PAEDIATRICS NEUROLOGY DIVISION
Mailing Address - Street 2:CHILDREN'S HOSPITAL OF ALABAMA
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35249-6539
Mailing Address - Country:US
Mailing Address - Phone:205-996-7850
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PAEDIATRICS NEUROLOGY DIVISION
Practice Address - Street 2:CHILDREN'S HOSPITAL OF ALABAMA
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35249-6539
Practice Address - Country:US
Practice Address - Phone:205-996-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-09
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
AL354042084N0402X, 282NC2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282NC2000XHospitalsGeneral Acute Care HospitalChildren
No2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology