Provider Demographics
NPI:1871584896
Name:MUHAMMEDI, MUHAMMED A (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMED
Middle Name:A
Last Name:MUHAMMEDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 CLEVELAND AVE
Mailing Address - Street 2:
Mailing Address - City:EAST POINT
Mailing Address - State:GA
Mailing Address - Zip Code:30344-3433
Mailing Address - Country:US
Mailing Address - Phone:404-761-0819
Mailing Address - Fax:404-768-2313
Practice Address - Street 1:1275 CLEVELAND AVE
Practice Address - Street 2:
Practice Address - City:EAST POINT
Practice Address - State:GA
Practice Address - Zip Code:30344-3433
Practice Address - Country:US
Practice Address - Phone:404-761-0819
Practice Address - Fax:047-682-3134
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033153174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00441911AMedicaid
GA11BDCSKMedicare PIN
GA00441911AMedicaid