| Khaled Mohamed, Md Llc | |
|
35 Old Tavern Rd Suite 101 Orange CT 06477-3450 | |
| (914) 830-0813 | |
| (203) 717-0138 |
| Full Name | Khaled Mohamed, Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 35 Old Tavern Rd, Orange, Connecticut |
| Authorized Official Name and Position | Khaled Mohamed (OWNER) |
| Authorized Official Contact | 9146820965 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khaled Mohamed, Md Llc 35 Old Tavern Rd Suite 101 Orange CT 06477-3450 Ph: (914) 830-0813 | Khaled Mohamed, Md Llc 35 Old Tavern Rd Suite 101 Orange CT 06477-3450 Ph: (914) 830-0813 |
| NPI Number | 1922552967 |
|---|---|
| Provider Enumeration Date | 08/08/2016 |
| Last Update Date | 08/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922552967 | NPI | - | NPPES |
| 1124049861 | Other | NY | NPI TYPE 1 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 47217 (Connecticut) | Primary |
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