Provider Demographics
NPI:1790247872
Name:MOHAMED, AYAH (MD)
Entity type:Individual
Prefix:
First Name:AYAH
Middle Name:
Last Name:MOHAMED
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 LEE STREET MAILBOX 800376
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22908-0816
Mailing Address - Country:US
Mailing Address - Phone:434-924-5078
Mailing Address - Fax:434-924-8118
Practice Address - Street 1:1215 LEE STREET
Practice Address - Street 2:DEPARTMENT 800376
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22908-0816
Practice Address - Country:US
Practice Address - Phone:434-924-5078
Practice Address - Fax:434-924-8118
Is Sole Proprietor?:No
Enumeration Date:2019-04-05
Last Update Date:2024-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0116038886207XS0106X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0106XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryHand Surgery