Search › Illinois › 207R00000X
Shaji Mohammed
NPI 1316504939 · on the registry since 2019
Practice
- Address
- 1 Good Samaritan Way
Mt. Vernon, IL 62864 - Phone
- (618) 899-1006
Registry record
- Primary taxonomy
- 207R00000X
207R00000X
- Also registered as
- 208M00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-04-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois