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Mohamad E Allaf

Urology

Allopathic & Osteopathic Physicians

600 N Wolfe St, Baltimore, MD 21287-0005

PECOS Enrollment

This provider is enrolled in PECOS as MOHAMAD ALLAF.

Based on the most recent information from CMS, provider Mohamad E Allaf is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1619912243
Provider Type
Individual
Full Name
Allaf, Mohamad E
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
6/18/2006
Last Updated
2/1/2013

Contact Information

Practice Location

600 N Wolfe St, Baltimore, MD 21287-0005

(410) 955-0833

Unlisted Fax

Mailing Location

PO Box 64255, Baltimore, MD 21264-4255

(410) 502-7710

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208800000X Primary	Description Urology Allopathic & Osteopathic Physicians	License D64668 Maryland

Provider Identifiers

ID	Description	Issuer
ID 010161300	Description Medicaid	Issuer Unlisted Maryland

Mohamad E Allaf

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Johns Hopkins University

Stutzman, Ray

Kates, Max

Carter, Herbert Ballentine

Nimmagadda, Naren

Kern, Adam Jacob Mathias

Schaeffer, Edward Matthew

Mostwin, Jacek Lech

Han, Misop

Patel, Sunil