National Provider Identifier

Mohaned Salim Serdah, M.D.

Mohaned Salim Serdah, M.D. is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 275-4290.

NPI 1841819653Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1841819653
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
April 11, 2020
Last Updated
July 25, 2023

Practice Location

  • 601 Elmwood Avenue
  • Rochester, NY 14642

Phone: (585) 275-4290

Mailing Address

  • 601 Elmwood Avenue
  • Box679
  • Rochester, NY 14642

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1841819653
Entity Type
Individual
Last Name
Serdah
First Name
Mohaned
Middle Name
Salim
Credential
M.D.
Mailing Street Address
601 Elmwood Avenue
Mailing Address Line 2
Box679
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14642
Mailing Country
US
Mailing Phone
(585) 275-4290
Mailing Fax
(585) 473-1573
Practice Street Address
601 Elmwood Avenue
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14642
Practice Country
US
Practice Phone
(585) 275-4290
Practice Fax
(585) 473-1573
Enumeration Date
April 11, 2020
Last Updated
July 25, 2023
Sex
Male
Sole Proprietor
No
Certification Date
July 25, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)