Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abdallah Mohamed, MD

Individual provider Internal Medicine Physician · NPI 1225647738

Abdallah Mohamed, MD is an Internal Medicine in Johnson City, Tennessee. Qualified in 2019, 7 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Rhode Island and Tennessee.

Years since qualifying
7
Licensed in
RI, TN
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone: (423) 431-6111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Chalkstone Ave, Providence, RI 02908-4728 — (312) 358-9114

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence CLP05083 (RI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 67024 (TN)

Record details

NPI number1225647738
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 30, 2020
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023
Mailing address400 N State Of Franklin Rd, Johnson City, TN 37604-6035

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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