Provider Demographics
NPI:1417659079
Name:MOHAMMED, SHAZA ADEL AWAD (MD)
Entity Type:Individual
Prefix:
First Name:SHAZA
Middle Name:ADEL AWAD
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1401 W PACES FERRY RD NW APT 2101
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30327-2451
Mailing Address - Country:US
Mailing Address - Phone:615-602-0851
Mailing Address - Fax:
Practice Address - Street 1:1 HURLEY PLAZA
Practice Address - Street 2:GME OFFICE 10W
Practice Address - City:FLINT
Practice Address - State:MI
Practice Address - Zip Code:48503-4850
Practice Address - Country:US
Practice Address - Phone:810-262-9000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program