Mohamed, Khaled

Mohamed, Khaled is an individual health care provider with primary practice located at 4300B W Railroad St , Gulfport MS 39501-2568. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Mohamed, Khaled can be contacted via phone (228) 863-7393.

Contact Information

Primary practice address
4300B W Railroad St Gulfport MS 39501-2568
Phone: (228) 863-7393
Fax: (228) 868-6643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 27664 Mississippi
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 2005012191 Missouri
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 065587 Georgia

Profile Details

NPI number 1841240231
LBN Legal business name Mohamed, Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 7th, 2022 - about 4 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 1841240231 NPPES
Missouri MEDICAID 207590803

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