1255279873 NPI number — MOUHAMAD SAFOUH PASA MD

Table of content: MOUHAMAD SAFOUH PASA MD (NPI 1255279873)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255279873 NPI number — MOUHAMAD SAFOUH PASA MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
PASA
Provider First Name:
MOUHAMAD SAFOUH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
MOUSTAFA
Provider Other First Name:
MOUHAMAD SAFOUH
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1255279873
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/24/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
ZONE 38-STREET 803-BUILDING 29
Provider Second Line Business Mailing Address:
SEVEN PEARLS COMPOUND 29 APT: 512
Provider Business Mailing Address City Name:
AISADD
Provider Business Mailing Address State Name:
DOHA
Provider Business Mailing Address Postal Code:
00000
Provider Business Mailing Address Country Code:
QA
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1800 ORLEANS ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21287
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-955-5080
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/24/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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