Chan, Mohamed
Chan, Mohamed is an individual health care provider with primary practice located at 468 Old Country Rd , Wellington FL 33414-4808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Chan, Mohamed can be contacted via phone (561) 676-5164.Contact Information
Primary practice address
468 Old Country Rd
Wellington FL 33414-4808
Phone: (561) 676-5164
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME50285 | Florida |
Profile Details
| NPI number | 1033108352 |
|---|---|
| LBN Legal business name | Chan, Mohamed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Mar 24th, 2016 - 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 | 1033108352 | NPPES |
| Florida | MEDICAID | 035289600 |
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