Dr Mohammad E Al Madadha, MD is a
Student In An Organized Health Care Education/training Program based in Hattiesburg, Mississippi. Dr Mohammad E Al Madadha is licensed to practice in Mississippi (license number ) and his current practice location is
6051 U S Highway 49 # Ms, Hattiesburg, Mississippi. He can be reached at his office (for appointments etc.) via phone at
(727) 241-3524.
NPI number for Dr Mohammad E Al Madadha is 1467171462 and his current mailing address is 9333 Breakstone Cv, Collierville, Tennessee. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1467171462.
Provider's Profile
| Full Name | Dr Mohammad E Al Madadha |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 6051 U S Highway 49 # Ms, Hattiesburg, Mississippi |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1467171462
- Provider Enumeration Date: 08/23/2022
- Last Update Date: 03/27/2026
Medical Identifiers
Medical identifiers for Dr Mohammad E Al Madadha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1467171462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 2022026934 (Missouri) | Secondary |
| 170100000X | Medical Genetics, Ph.d. Medical Genetics | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (Mississippi) | Primary |
| 246QL0900X | Specialist/technologist, Pathology - Laboratory Management | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mohammad E Al Madadha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Dr Mohammad E Al Madadha, MD 9333 Breakstone Cv, Collierville, TN 38017-9740 Ph: (727) 241-3524 | Dr Mohammad E Al Madadha, MD 6051 U S Highway 49 # Ms, Hattiesburg, MS 39401-7200 Ph: (727) 241-3524 |
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