Provider Demographics
NPI:1346849551
Name:EL-BARBARAWI, MOHAMMAD MAHMOUD (RPH)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:MAHMOUD
Last Name:EL-BARBARAWI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3422 W YORKSHIRE CIR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-7000
Mailing Address - Country:US
Mailing Address - Phone:414-935-8895
Mailing Address - Fax:
Practice Address - Street 1:3049 OAKES RD
Practice Address - Street 2:
Practice Address - City:MOUNT PLEASANT
Practice Address - State:WI
Practice Address - Zip Code:53177-1661
Practice Address - Country:US
Practice Address - Phone:262-589-8528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-19
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI19202-40183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist