Provider Demographics
NPI:1467591693
Name:MOHAMMED, SAMEER A (MD)
Entity Type:Individual
Prefix:
First Name:SAMEER
Middle Name:A
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3524 NATIONAL DR
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-8222
Mailing Address - Country:US
Mailing Address - Phone:405-360-8930
Mailing Address - Fax:888-258-6520
Practice Address - Street 1:3524 NATIONAL DRIVE
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069
Practice Address - Country:US
Practice Address - Phone:405-360-8930
Practice Address - Fax:888-258-6520
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-05
Last Update Date:2016-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK234042084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry