Provider Demographics
NPI:1336104785
Name:TOMEH, MOHAMMAD O (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMAD
Middle Name:O
Last Name:TOMEH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2788 BAYARD ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3441
Mailing Address - Country:US
Mailing Address - Phone:404-768-3043
Mailing Address - Fax:404-768-1781
Practice Address - Street 1:2788 BAYARD ST
Practice Address - Street 2:SUITE 201
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3441
Practice Address - Country:US
Practice Address - Phone:404-768-3043
Practice Address - Fax:404-768-1781
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-19
Last Update Date:2011-10-07
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Provider Licenses
StateLicense IDTaxonomies
GA015331208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000392642AMedicaid
GA000392642AMedicaid