Abdalkader, Mohamad Khaled
Abdalkader, Mohamad Khaled is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Abdalkader, Mohamad Khaled can be contacted via phone (617) 638-6610.Contact Information
Primary practice address
840 Harrison Ave
Boston MA 02118-2905
Phone: (617) 638-6610
Fax: (617) 638-6616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | 275120 | Massachusetts |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 275120 | Massachusetts |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 275120 | Massachusetts |
Profile Details
| NPI number | 1124472584 |
|---|---|
| LBN Legal business name | Abdalkader, Mohamad Khaled |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 21st, 2016 |
| Last updated | Mar 1st, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124472584 | NPPES |
| Massachusetts | MEDICAID | 110117186A | |
| Massachusetts | MEDICAID | 3113852 |
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