Provider Demographics
NPI:1295751949
Name:AKOAD, MOHAMED ELHASSAN (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMED
Middle Name:ELHASSAN
Last Name:AKOAD
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 1:41 MALL RD STE 4W
Mailing Address - Street 2:LAHEY CLINIC, INC.
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01805-0001
Mailing Address - Country:US
Mailing Address - Phone:781-744-2500
Mailing Address - Fax:781-744-5743
Practice Address - Street 1:41 MALL RD STE 4W
Practice Address - Street 2:LAHEY CLINIC, INC.
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01805-0001
Practice Address - Country:US
Practice Address - Phone:781-744-2500
Practice Address - Fax:781-744-5743
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-14
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA210063208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0148261Medicaid
MA0148261Medicaid
MA000149902Medicare PIN