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

Ibtisam Mohammad

Individual provider Otolaryngology Physician · NPI 1356239305

Ibtisam Mohammad is an Otolaryngology Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2025.

Licensed in
GA
In the registry since
2025

Practice location Address checks out

1120 15th St # BP-4109
Augusta, GA 30912-0006
Phone: (706) 721-6100
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 18013 (GA)

Record details

NPI number1356239305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 26, 2025
Mailing address1120 15th St # Bp-4109, Augusta, GA 30912-0006

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