NPI 1477047124

Ibraheem Javeed Mohammed

Practitioner Anatomic Pathology & Clinical Pathology Physician Carbondale, IL

Practice location

Address: 405 W Jackson St, Carbondale, IL 62901-1462
Phone: (618) 549-0721
Mailing address: PO Box 3988, Carbondale, IL 62902-3988

Registered specialties (2)

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 036164689 (IL)

Other Pathology providers in Illinois →

Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1477047124
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Jun 2018
Record last updated: 12 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.