Provider Demographics
NPI:1639741218
Name:ABU HAMAD, MOH'D RAWHI (MD)
Entity Type:Individual
Prefix:
First Name:MOH'D RAWHI
Middle Name:
Last Name:ABU HAMAD
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:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-09
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-1002
Mailing Address - Country:US
Mailing Address - Phone:314-454-6173
Mailing Address - Fax:314-454-2412
Practice Address - Street 1:WUSM PEDS, 1 CHILDRENS PL MSC 8116-0043-09
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-1002
Practice Address - Country:US
Practice Address - Phone:314-454-6173
Practice Address - Fax:314-454-2412
Is Sole Proprietor?:No
Enumeration Date:2021-07-13
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2024012598208000000X
IAR-12283208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics