Khoshnoodi, Mohammad Ali

Khoshnoodi, Mohammad Ali is an individual health care provider with primary practice located at 301 S 7Th Ave Ste 210 , West Reading PA 19611-1450. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Khoshnoodi, Mohammad Ali can be contacted via phone (484) 628-4656.

Contact Information

Primary practice address
301 S 7Th Ave Ste 210 West Reading PA 19611-1450
Phone: (484) 628-4656
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D77423 Maryland
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD472157 Pennsylvania

Profile Details

NPI number 1013159326
LBN Legal business name Khoshnoodi, Mohammad Ali
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2009
Last updated Jul 23rd, 2021 - about 5 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 1013159326 NPPES
Pennsylvania MEDICAID 1038638060001
Pennsylvania MEDICAID 080478900

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