Khalid, Mohammad Atif

Khalid, Mohammad Atif is an individual health care provider with primary practice located at 64 Shady Ln , Fanwood NJ 07023-1719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Khalid, Mohammad Atif can be contacted via phone (585) 410-6266.

Contact Information

Primary practice address
64 Shady Ln Fanwood NJ 07023-1719
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 233108 New York
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A99797 California

Profile Details

NPI number 1073503058
LBN Legal business name Khalid, Mohammad Atif
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2005
Last updated Jul 21st, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073503058 NPPES
New York MEDICAID 02564818

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