# DR. MOHSIN RIAZ KHALIQUE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1124083589
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 22590 | WV | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 35083976 | OH | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A 98212 | CA | Yes |

## Other

- **Enumeration date:** 04/19/2006
- **Last updated:** 10/24/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2459156 | — | OH |
| 05 | — | 3810000218 | — | WV |