Search › New York › 171R00000X
Mohamed Ouedrago
NPI 1346155942 · on the registry since 2026 · sole proprietor
Practice
- Address
- 1159 Eastern Pkwy Apt 2
Brooklyn, NY 11213 - Phone
- (917) 773-5403
- Organisation at this address
- Vitalpath Medical Supply Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 171R00000X
171R00000X
- Licence states on file
- NY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-08-18
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 New York