Provider Demographics
NPI:1124057245
Name:ALHATOU, MOHAMMED I (MD)
Entity type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:I
Last Name:ALHATOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2850 PELHAM CT
Mailing Address - Street 2:
Mailing Address - City:ORANGEBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29118-1400
Mailing Address - Country:US
Mailing Address - Phone:803-531-8500
Mailing Address - Fax:803-531-7654
Practice Address - Street 1:2850 PELHAM CT
Practice Address - Street 2:
Practice Address - City:ORANGEBURG
Practice Address - State:SC
Practice Address - Zip Code:29118-1400
Practice Address - Country:US
Practice Address - Phone:803-531-8500
Practice Address - Fax:803-531-7654
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-01
Last Update Date:2012-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC229512084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology