Mohamed, Khaled A
Mohamed, Khaled A is an individual health care provider with primary practice located at 220 Barton Blvd Unit C#14, Rockledge FL 32955-2742. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Mohamed, Khaled A can be contacted via phone (321) 639-5177.Contact Information
Primary practice address
220 Barton Blvd Unit C#14
Rockledge FL 32955-2742
Phone: (321) 639-5177
Fax: (321) 639-4927
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME91997 | Florida |
Profile Details
NPI number | 1144289620 |
---|---|
LBN Legal business name | Mohamed, Khaled A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 22nd, 2006 |
Last updated | Apr 8th, 2015 - about 10 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 | 1144289620 | NPPES |
Florida | MEDICAID | 002924500 |
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