Individual
DR. MOHAMMAD ALI KHOSHNOODI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
301 S 7TH AVE STE 210, WEST READING, PA 19611-1450
(484) 628-4656
Mailing address
PO BOX 13579, READING, PA 19612-3579
(484) 628-0799
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
D77423
MD
2084N0400X
Neurology Physician
MD472157
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
080478900
—
MD
05
—
1038638060001
—
PA
Enumeration date
04/01/2009
Last updated
10/10/2024
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