Provider Demographics
NPI:1821252479
Name:MOHAMMEDELAMIEN, ABEDULNAASSEER O (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:ABEDULNAASSEER
Middle Name:O
Last Name:MOHAMMEDELAMIEN
Suffix:
Gender:M
Credentials:MD, MS
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Mailing Address - Street 1:2500 N STATE ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:MS
Mailing Address - Zip Code:39216-4500
Mailing Address - Country:US
Mailing Address - Phone:601-984-1000
Mailing Address - Fax:
Practice Address - Street 1:2500 N STATE ST
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:MS
Practice Address - Zip Code:39216-4500
Practice Address - Country:US
Practice Address - Phone:601-815-3120
Practice Address - Fax:601-815-3123
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MST-39462083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine