Khedr, Wedad Mohammed
Khedr, Wedad Mohammed is an sole proprietor health care provider with primary practice located at 950 E Main St Bldg B , Somerton AZ 85350-7409. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khedr, Wedad Mohammed can be contacted via phone (928) 236-8001.Contact Information
Primary practice address
950 E Main St Bldg B
Somerton AZ 85350-7409
Phone: (928) 236-8001
Fax: (928) 722-6113
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 036091500 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 66835 | Arizona |
Profile Details
| NPI number | 1093750754 |
|---|---|
| LBN Legal business name | Khedr, Wedad Mohammed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 18th, 2006 |
| Last updated | May 13th, 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 | 1093750754 | NPPES |
| Illinois | MEDICAID | 036091500 |
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