Provider Demographics
NPI:1417364340
Name:MOHAMAD ALABRASH, M.D.
Entity Type:Organization
Organization Name:MOHAMAD ALABRASH, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:ALABRASH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-678-1290
Mailing Address - Street 1:PO BOX 44090
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-6090
Mailing Address - Country:US
Mailing Address - Phone:443-678-1290
Mailing Address - Fax:443-678-1292
Practice Address - Street 1:5430 CAMPBELL BLVD
Practice Address - Street 2:
Practice Address - City:WHITE MARSH
Practice Address - State:MD
Practice Address - Zip Code:21162-5500
Practice Address - Country:US
Practice Address - Phone:443-678-1290
Practice Address - Fax:443-678-1292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-11
Last Update Date:2014-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Single Specialty