| Doctor Name: | DR. MUHAMMAD GHANEM |
| NPI Number: | 1154709608 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | |
| Business Practice Address: | One Gustave L. Levy Place New York City, NY - 100296574 |
| Business Phone Number: | 2122416500 |
| Business Fax Number: | |
| Mailing Address: | 5 East 98th St, 15th Floor, Mount Sinai Medical Center NEW YORK |
| State: | NY |
| Postal Code: | 10029 |
| Phone Number: | 2122415967 |
| Fax Number: | 2124100111 |
| NPI Enumeration Date: | 05/15/2015 |
| NPI Last Update Date: | 02/25/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 12/28/2015 |
| NPI Reactivation Date: | 02/25/2016 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 390200000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Student, Health Care |
| Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |