IndividualActive
Anseruddin Mohammed, M.D.
NPI 1093978165 · Child & Adolescent Psychiatry Physician · Johnstown, PA
Provider details
- NPI number
- 1093978165
- Entity type
- Individual
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD441808 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Child & Adolescent Psychiatry Physician2084P0804X
Practice location
119 Walnut St
Walnut Plaza
Johnstown, PA 15901-1625
Phone: (814) 534-1095
Fax: (814) 534-6145
Approximate (ZIP-level) locationGet directions
Mailing address
1086 Franklin St
Johnstown, PA 15905-4305
Additional practice locations (4)
- 5101 Willow Springs RdLa Grange, IL 60525-2600Phone: (708) 245-9000
- 1215 E Michigan AveLansing, MI 48912-1811Phone: (517) 364-5160
- 1210 W Saginaw St Fl 2Lansing, MI 48915-1927Phone: (517) 364-5160
- 2244 Executive DrHampton, VA 23666-2430Phone: (757) 827-1001
Registry dates
- Enumerated
- 2008-07-08
- Last updated
- 2025-05-13
- Certified
- 2025-05-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.