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Contact Information

OTHMAN M MOHAMMAD, MD
1802 S MATTIS AVE
CHAMPAIGN, IL61821-5923
 Phone: 217-365-2855
 Fax: 217-365-2856
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
Indicates primary specialty

NPI Profile & details for OTHMAN M MOHAMMAD · (Male)

NPI # 1912138660
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2009
Last updated 04/02/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • CT License # 066441
  • IL License # 036166927
  • MA License # 261296
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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