Provider Demographics
NPI:1447218300
Name:MOHAMED, TALAAT H (MD)
Entity type:Individual
Prefix:
First Name:TALAAT
Middle Name:H
Last Name:MOHAMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:TALAAT
Other - Middle Name:H
Other - Last Name:MOHAMED
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:2633 NAPOLEON AVE
Mailing Address - Street 2:STE 912
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115
Mailing Address - Country:US
Mailing Address - Phone:504-897-6524
Mailing Address - Fax:504-887-9371
Practice Address - Street 1:2633 NAPOLEON AVE
Practice Address - Street 2:STE 912
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115
Practice Address - Country:US
Practice Address - Phone:504-897-6524
Practice Address - Fax:504-887-9371
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA0111562084P0800X, 2084P0804X
TXD33442084P0800X, 2084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Not Answered2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
BM1406671OtherUS DEA
BM1406671OtherUS DEA
LA53002Medicare ID - Type Unspecified