Provider Demographics
NPI:1952528143
Name:MOHAMMED, GABRIEL IBRAHIM JR
Entity Type:Individual
Prefix:
First Name:GABRIEL
Middle Name:IBRAHIM
Last Name:MOHAMMED
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4200 WILSON BLVD
Mailing Address - Street 2:SUITE 1100
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-1800
Mailing Address - Country:US
Mailing Address - Phone:202-493-1224
Mailing Address - Fax:202-493-1218
Practice Address - Street 1:4200 WILSON BLVD
Practice Address - Street 2:SUITE 1100
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-1800
Practice Address - Country:US
Practice Address - Phone:202-493-1224
Practice Address - Fax:202-493-1218
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other