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Contact Information

IMTIAZ MOHAMED, MD
11040 N STATE ROAD 77
HAYWARD, WI54843-3606
 Phone: 715-934-4321
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for IMTIAZ MOHAMED · (Male)

NPI # 1396796884
Status Active
Credentials MD
Entity Individual
Enumeration date 05/12/2006
Last updated 06/12/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 56386
  • WI License # 41063
  • MI Medicaid 1396796884
  • MN Medicaid 1396796884
  • WI Medicaid 1396796884
  • WI Medicaid 32584300
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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