IGBAL ELAMIN MOHAMED


Address: 1245 Elm St, Manchester, NH 03101-1308
Phone: 6036686629

IGBAL ELAMIN MOHAMED (NPI# 1639322332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1639322332
Entity Type Individual
Full Name IGBAL ELAMIN MOHAMED
Credential PA
Practice Address 1245 Elm St
Manchester
NH 03101-1308
Mailing Address 128 Mammoth Rd
Hooksett
NH 03106-1167
Practice Telephone 6036686629
Mailing Telephone 6036278908
Enumeration Date 2008-10-28
Last Update Date 2008-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
0695 NH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NH CHILD HEALTH SERVICES 02-0348711 01

Office Location

Street Address 1245 ELM ST
City MANCHESTER
State NH
Zip Code 03101-1308

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942382676 Kimberly Anne Lovely Dietitian, Registered 1245 Elm St, Manchester, NH 03101-1308 2006-10-20
1912544297 Kayla Kenney Social Worker 1245 Elm St, Manchester, NH 03101-1308 2019-12-05
1558845669 Clarissa D. Lewis Optometrist 1245 Elm St, Manchester, NH 03101-1308 2018-09-25
1053812735 Stephanie F Prantis Social Worker 1245 Elm St, Manchester, NH 03101-1308 2018-02-27
1205337979 Kaitlyn Croteau Social Worker 1245 Elm St, Manchester, NH 03101-1308 2018-02-27
1245731926 Susan M Zankel Social Worker 1245 Elm St, Manchester, NH 03101-1308 2018-02-27
1407390057 Caralyn Macek Dietitian, Registered 1245 Elm St, Manchester, NH 03101-1308 2016-12-15
1295112530 Amoskeag Health Clinic/Center 1245 Elm St, Manchester, NH 03101-1308 2015-05-06
1457744898 Amoskeag Health Clinic/Center 1245 Elm St, Manchester, NH 03101-1308 2015-03-10
1023411865 Sarah Bernier Social Worker 1245 Elm St, Manchester, NH 03101-1308 2014-10-08
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1003320425 Miranda Sherburne Occupational Therapist 470 Pine Street, Manchester, NH 03101 2017-11-21
1396266938 Juliette W Daniels Social Worker 464 Chestnut Street, Child and Family Services, Manchester, NH 03101 2017-07-05
1851820450 Samantha Ysabelle Kattiria Specialist/Technologist 39 Kosciuszko Street, Apt 4, Manchester, NH 03101 2017-06-07
1598121188 Angelique Alicia Fortin Counselor 77 Pearl St., Manchester, NH 03101 2016-01-12
1578946786 Reta Goldman Counselor 25 Lowell St Ste 208, Manchester, NH 03101 2015-07-07
1306239207 Myra Jean Nikitas Dental Hygienist 97 West Merrimack Street, Manchester, NH 03101 2015-03-17
1902234586 Judith Patrick Ronshagen Pharmacist 175 Queen City Avenue, Ste 1, Manchester, NH 03101 2013-10-17
1942566336 Elizabeth Zavagnin Specialist 2 Wall St Ste 200, Manchester, NH 03101 2012-04-10
1538463088 William Gerald Mccormick Pharmacist 175 Queen City Ave, Manchester, NH 03101 2010-12-27
1215241799 Melissa Ann Dinoto Counselor 20 Market St., Manchester, NH 03101 2010-07-27
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356729487 Kelsey Wood Physician Assistant 574 Middle Turnpike East, Kelsey Wood, Manchester, CT 06040-3730 2015-05-08
1841626678 Evan Patrick Dyer Physician Assistant 1415 Hillsboro Blvd Ste 106, Manchester, TN 37355-2599 2013-09-25
1528313350 Stephanie Elaine Fangman Physician Assistant 709 W Main St Ste 3, Manchester, IA 52057-1526 2012-07-18
1932351673 Michael Anthony Ascenzia Physician Assistant 360 Tolland Tpke Ste 1a, Manchester, CT 06042-1759 2008-10-14
1780747519 Wendy Brown Jorgensen Physician Assistant 1053 Western Avenue, Manchester, ME 04351 2006-12-19
1770694945 Briana Marie Peterson Physician Assistant 574 E Middle Tpke, Manchester, CT 06040-3730 2006-08-31
1245249010 Holly Pelletier Physician Assistant 57 Webster St Ste 110, Manchester, NH 03104-2552 2006-08-07
1558396192 Nancy E. Kalinski Physician Assistant 102 Bay St, Manchester, NH 03104-3008 2006-07-12
1790787323 Paul Barlow Physician Assistant 1 Highlander Way Ste 4, Manchester, NH 03103-7404 2005-08-12
1669030177 Alexis Deitz Physician Assistant 574 Middle Tpke E, Manchester, CT 06040-3730 2019-05-30
Find all providers in MANCHESTER

Competitor

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City MANCHESTER
Zip Code 03101

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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