IndividualActive
Macki Mohammed
NPI 1104510395 · Student in an Organized Health Care Education/Training Program · Phoenix, AZ
Provider details
- NPI number
- 1104510395
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4902 N 19th Ave
Phoenix, AZ 85015-3440
Phone: (605) 214-8632
Street-level locationGet directions
Mailing address
7004 S 58th Ave
Laveen, AZ 85339-2265
Registry dates
- Enumerated
- 2023-06-08
- Last updated
- 2023-06-08
- Certified
- 2023-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.