NPI 1760047906 · live from the CMS NPI Registry
Mohammed Hussein Al-Wadei, MPH., PhD., MD.
Family Medicine in Southaven, MS. National Provider Identifier 1760047906, active.
NPI record
| NPI | 1760047906 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 7736 Airways Blvd, Southaven, MS 38671 |
| Practice phone | 662-772-5222 |
| Mailing address | 965 Ridge Lake Blvd Ste 315, Memphis, TN 38120 |
| Enumerated | May 2, 2019 |
| Last updated | June 27, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine | 207Q00000X | 0000064152 (TN) |
| Family Medicine | 207Q00000X | 64152 (TN) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 29882 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.