Provider Demographics
NPI:1295441350
Name:GOUDA, MOHAMED (MBBCH, MSC)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:
Last Name:GOUDA
Suffix:
Gender:M
Credentials:MBBCH, MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 ALMEDA RD APT 2208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-2136
Mailing Address - Country:US
Mailing Address - Phone:832-282-3156
Mailing Address - Fax:
Practice Address - Street 1:1515 HOLCOMBE BLVD UNIT 455
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-4000
Practice Address - Country:US
Practice Address - Phone:713-563-9336
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-23
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0200XAmbulatory Health Care FacilitiesClinic/CenterOncology