Provider Demographics
NPI:1154291763
Name:MOHAMMED, YASEEN RAAD
Entity type:Individual
Prefix:
First Name:YASEEN
Middle Name:RAAD
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:445 MAIN ST STE 6
Mailing Address - Street 2:
Mailing Address - City:SACO
Mailing Address - State:ME
Mailing Address - Zip Code:04072-2540
Mailing Address - Country:US
Mailing Address - Phone:207-413-1652
Mailing Address - Fax:
Practice Address - Street 1:445 MAIN ST STE 6
Practice Address - Street 2:
Practice Address - City:SACO
Practice Address - State:ME
Practice Address - Zip Code:04072-2540
Practice Address - Country:US
Practice Address - Phone:207-413-1652
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-11-08
Last Update Date:2025-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management