Mohamed, Khaled
Mohamed, Khaled is an individual health care provider with primary practice located at 4300B W Railroad St , Gulfport MS 39501-2568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mohamed, Khaled can be contacted via phone (228) 863-7393.Contact Information
Primary practice address
4300B W Railroad St
Gulfport MS 39501-2568
Phone: (228) 863-7393
Fax: (228) 868-6643
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 27664 | Mississippi |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 2005012191 | Missouri |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 065587 | Georgia |
Profile Details
| NPI number | 1841240231 |
|---|---|
| LBN Legal business name | Mohamed, Khaled |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Jan 7th, 2022 - 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 | 1841240231 | NPPES |
| Missouri | MEDICAID | 207590803 |
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