Khanzada, Mohammed A
Khanzada, Mohammed A is an individual health care provider with primary practice located at 5950 Summerhill Rd , Texarkana TX 75503-1639. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Khanzada, Mohammed A can be contacted via phone (844) 215-0731.Contact Information
Primary practice address
5950 Summerhill Rd
Texarkana TX 75503-1639
Phone: (844) 215-0731
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD058177L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 65023 | Minnesota |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | E2108 | Arkansas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | E2108 | Arkansas |
Profile Details
| NPI number | 1639143829 |
|---|---|
| LBN Legal business name | Khanzada, Mohammed A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 14th, 2006 |
| Last updated | Jun 21st, 2024 - about 2 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 | 1639143829 | NPPES |
| Arkansas | MEDICAID | 237860001 | |
| Arkansas | MEDICAID | 001717388 | |
| Arkansas | MEDICAID | 1639143829 |
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