Provider Demographics
NPI:1679927305
Name:MOHAMMED, SOBRINA SARAH (MBBS)
Entity type:Individual
Prefix:DR
First Name:SOBRINA
Middle Name:SARAH
Last Name:MOHAMMED
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2310 HOLMES ST STE 800
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2602
Mailing Address - Country:US
Mailing Address - Phone:816-404-8188
Mailing Address - Fax:816-421-7379
Practice Address - Street 1:3130 MERSINGTON AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64128
Practice Address - Country:US
Practice Address - Phone:816-404-6700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-19
Last Update Date:2019-11-21
Deactivation Date:2016-12-06
Deactivation Code:
Reactivation Date:2017-02-17
Provider Licenses
StateLicense IDTaxonomies
MO2019024564207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine