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Contact Information

RIYAD MOHAMA, MD
4520 W 69TH ST
SIOUX FALLS, SD57108-8148
 Phone: 605-977-5000
 Fax: 605-977-5377
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Cardiac Electrophysiology

207RC0001X 11 Physician/Internal Medicine
 

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for RIYAD MOHAMA · (Male)

NPI Number 1194778738
Status Active
Credentials MD
Entity Individual
Enumeration date 05/17/2006
Last updated 06/10/2008 - About 18 years ago
Sole proprietor 1 No
Identifiers
  • SD License # 3476
  • IA Medicaid 1981787
  • MN Medicaid 431200700
  • SD Medicaid 6002492
  • Other 24684 HEALTH PARTNERS
  • Other 931451029039 PREFERRED ONE
  • Other 165028 UCARE
  • IA Other 53992 IA BCBS
  • MN Other 4R614MO MN BCBS - PLAN 91057NO
  • SD Other 3476 DAKOTACARE
  • SD Other 0003382 SD BCBS
Hospital affiliation(s)
  • AVERA HEART HOSPITAL OF SOUTH DAKOTA LLC - (Acute Care)
    4500 W 69TH ST
    SIOUX FALLS, SD 57108
  • AVERA MCKENNAN HOSPITAL & UNIVERSITY HEALTH CENTER - (Acute Care)
    1325 S CLIFF AVE POST OFFICE BOX 5045
    SIOUX FALLS, SD 57117
  • AVERA QUEEN OF PEACE - (Acute Care)
    525 N FOSTER
    MITCHELL, SD 57301
  • LAKES REGIONAL HEALTHCARE - (Acute Care)
    2301 HIGHWAY 71
    SPIRIT LAKE, IA 51360
  • PIPESTONE COUNTY MEDICAL CENTER ASHTON CC - (Critical Access)
    916 4TH AVENUE SOUTHWEST
    PIPESTONE, MN 56164
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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