Provider Demographics
NPI:1588317374
Name:MOHAMMED, MOHAMMED ABOABID
Entity type:Individual
Prefix:
First Name:MOHAMMED
Middle Name:ABOABID
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 1:3530 LIBERTY RD S STE G
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-5622
Mailing Address - Country:US
Mailing Address - Phone:971-332-7864
Mailing Address - Fax:971-600-9059
Practice Address - Street 1:3260 FELINA AVE NE APT 220
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-1486
Practice Address - Country:US
Practice Address - Phone:971-332-7864
Practice Address - Fax:971-600-9059
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-01
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)