Maryland Board of Physicians
Physician Profile Portal
This data was extracted on
9/30/2025
.
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License Number
:
D0062204
Dr. Mohamed Awny Atalla
License Type
:
Physician-Medical Doctor
License Status
:
Active
License Issued
:
08/23/2004
License Expiration:
09/30/2026
Licensure Pathway:
Traditional
Special License Category:
N/A
Primary Practice Setting
KAISER PERMENENTE MID-ATLANTIC AT LARGO
1221 MERCANTILE LN
LARGO, MD 20774
Public Address
Kaiser Permanente
Largo Medical Center
1221 Mercantile Ln.
Largo, MD 20774
Education
Ain Shams University Medical School
Graduation Year: 1999
Medical Assistance and Malpractice Insurance
Accept Medicaid?
Yes
Maintains Malpractice Insurance?
Yes
Postgraduate Training Program
School
Concentration
University of Massachusetts Medical Center, Worcester, MA
Surgery
George Washington University Medical Center, Washington, DC
Surgery
George Washington University Medical Center, Washington, DC
Urology
North Shore LIJ Health System, New Hyde Park, NY
Urology
Specialty Board Certification
(as reported by licensee)
by
American Board of Medical Specialties (ABMS)
,
American Osteopathic Association (AOA)
,
Royal College of Physicians and Surgeons of Canada (RCPSC)
, or the
College of Family Physicians of Canada (CFPOC)
.
Urology
Self-Designated Practice Area
(as reported by licensee)
Surgery, Urological
Urology
Maryland Hospital Privilege Information
(as reported by licensee)
Suburban Hospital
Holy Cross Hospital
Medical Licenses Held in Other States
(as reported by licensee)
District of Columbia
Virginia
Collaboration and Consultation Agreements for Naturopathic Doctors
Collaboration and Consultation Agreements have not been reported for the profile site.
Active Supervisor - Evaluation and Treatment Protocols for Athletic Trainers
Evaluation and Treatment protocols have not been reported for the profile site.
Supervised Genetic Counselor - Active Supervisor
Supervisor Agreements have not been reported for the profile site.
Active Supervisor - Delegation Agreement For Core Duties
C0004983
Rachel Gopenko Dhyani Status: Approved |
Approved Date:
05/13/2015 | Agreement No: 13480
C0006407
Ryan Tyler Shapiro Status: Approved |
Approved Date:
02/08/2022 | Agreement No: 30148
Download all Maryland Disciplinary Actions
(not time-limited)
All Orders are downloaded in .pdf format.
None.
Summary of Known Disciplinary Actions by any state medical board
(within the past 10 years)
Please Read Description
In Maryland:
No Known Disciplinary Actions by the Maryland Board of Physicians have been reported.
Other States:
No Known Disciplinary Actions by any other state medical board have been reported.
Pending Charges
Please Read Disclaimer
All Charges are downloaded in .pdf format.
None.
Other Public Actions in the Practice of the Profession or Administrative Fines
(including Maryland)
Please Read Description
No reported Other Public Actions in the Practice of the Profession or Administrative Fines (incl. Maryland) for this licensee.
MALPRACTICE
(Information to be taken into consideration when reviewing a licensee's profile)
Please Read Malpractice Disclosure
Malpractice Judgments and Arbitration Awards
(within the past 10 years)
None Reported
Malpractice Settlements
(If there are 3 or more settlements of $150,000 or greater within the past 5 years)
None Reported
Convictions for any crime involving moral turpitude
None reported by the courts.
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Notice to Credential Verification Professionals