Provider Demographics
NPI:1275054579
Name:BILAL, MUHAMMED (DO)
Entity Type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:
Last Name:BILAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 MATTHEW DR STE 5
Mailing Address - Street 2:
Mailing Address - City:WAYNESBORO
Mailing Address - State:MS
Mailing Address - Zip Code:39367-2534
Mailing Address - Country:US
Mailing Address - Phone:601-735-7285
Mailing Address - Fax:
Practice Address - Street 1:940 MATTHEW DR STE 5
Practice Address - Street 2:
Practice Address - City:WAYNESBORO
Practice Address - State:MS
Practice Address - Zip Code:39367-2534
Practice Address - Country:US
Practice Address - Phone:601-735-7285
Practice Address - Fax:601-735-7288
Is Sole Proprietor?:No
Enumeration Date:2017-06-28
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
MS30073208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program