1831038710 NPI number — MAHMOUD MOHAMED HAMDY MAHMOUD GOMAA MBBCH

Table of content: MAHMOUD MOHAMED HAMDY MAHMOUD GOMAA MBBCH (NPI 1831038710)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1831038710 NPI number — MAHMOUD MOHAMED HAMDY MAHMOUD GOMAA MBBCH

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
GOMAA
Provider First Name:
MAHMOUD MOHAMED HAMDY MAHMOUD
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MBBCH
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
GOMAA
Provider Other First Name:
MAHMOUD
Provider Other Middle Name:
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MBBCH
Provider Other Last Name Type Code:
2

NPI Number Information

NPI Number:
1831038710
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/26/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
473 W 12TH AVE STE 105
Provider Second Line Business Mailing Address:
SUITE 105
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43210-1252
Provider Business Mailing Address Country Code:
US
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:
375 DIXMYTH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45220-2489
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-862-1800
Provider Business Practice Location Address Fax Number:
513-751-8638
Provider Enumeration Date:
03/26/2026

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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