M HISHAM MOHAMED


Address: 3214 Charles B Root Wynd, Suite 217, Raleigh, NC 27612-5440
Phone: 9197890909

M HISHAM MOHAMED (NPI# 1205909496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205909496
Entity Type Individual
Full Name M HISHAM MOHAMED
Credential MD
Practice Address 3214 Charles B Root Wynd
Suite 217
Raleigh
NC 27612-5440
Practice Telephone 9197890909
Practice Fax Number 9197899168
Mailing Telephone 9197890909
Mailing Fax Number 9197899168
Enumeration Date 2006-11-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 9501610 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NC STATE LICENSE NUMBER 9501610 01
NC CLIA 34D0949052 01
NC DEA BM4216152 01

Office Location

Street Address 3214 CHARLES B ROOT WYND
SUITE 217
City RALEIGH
State NC
Zip Code 27612-5440

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1053687301 Carolina Pelvic Health Center, Inc. Physical Therapist 3214 Charles B Root Wynd, Suite 101, Raleigh, NC 27612 2012-03-30
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1902930720 Capital Cardiovascular Surgery Pa Thoracic Surgery (Cardiothoracic Vascular Surgery) 3214 Charles B Root Wynd, 203, Raleigh, NC 27612-5440 2007-03-15
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NPI Name Taxonomy Address Enumeration
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1811426109 Marquita Randolph-breeden Behavior Technician 5816 Creedmoor Road, Suite 104, Raleigh, NC 27612 2017-06-08
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1831587476 Harris Teeter LLC Pharmacy 2051 W Millbrook Road, Raleigh, NC 27612 2015-01-06
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

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1255825840 Frederick Joseph Derosier Internal Medicine 1065 Tacketts Pond Dr, Raleigh, NC 27614-7887 2018-06-18
1023518412 Neijia Grissom Internal Medicine 3214 Charles B Root Wynd Ste 213, Raleigh, NC 27612-5440 2018-02-13
1326406703 Andrew Ubert Schindzielorz Internal Medicine 5300 Huntingwood Dr, Raleigh, NC 27606-9642 2016-02-01
1841680220 Oswald H Ganley Internal Medicine 1251 Goode St, The Healing Place of Wake County, Raleigh, NC 27603 2015-01-23
1659775831 Caremore Health Nc, PC Internal Medicine 1100 N Raleigh Blvd, Raleigh, NC 27610-1076 2014-10-16
1295147577 Courtney Barrett Internal Medicine 6729 Falls of Neuse Rd Ste 100, Raleigh, NC 27615-5383 2014-05-21
1821357815 Vanitha Gopal Internal Medicine 370 Allister Dr Unit 406, Raleigh, NC 27609-7269 2012-05-10
1093072498 The Carter Clinic,pa Internal Medicine 183 Wind Chime Ct Ste 100, Raleigh, NC 27615-6574 2012-04-23
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Competitor

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City RALEIGH
Zip Code 27612

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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