Provider Demographics
NPI:1821176538
Name:ALOCOZY, MOHAMMAD N (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:N
Last Name:ALOCOZY
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:PO BOX 5177
Mailing Address - Street 2:
Mailing Address - City:EL DORADO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:95762-0004
Mailing Address - Country:US
Mailing Address - Phone:916-333-5977
Mailing Address - Fax:916-333-5972
Practice Address - Street 1:2211 PARK TOWNE CIR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-0414
Practice Address - Country:US
Practice Address - Phone:916-333-5977
Practice Address - Fax:916-333-5972
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A635640Medicaid
CA00A635640Medicaid
G90171Medicare UPIN