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Individual

DR. MOHAMMED KHURSHEED

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
15034 IMPERIAL HWY, LA MIRADA, CA 90638-1301
(562) 547-2021
(562) 925-1723
Mailing address
12900 PARK PLAZA DR STE 150, CERRITOS, CA 90703-9329
(562) 677-2409
(562) 741-4479

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A25010
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A250100
BLUE SHIELD
CA
05
00A250100
CA
01
060066297
RAILROAD MEDICARE
CA
Enumeration date
07/30/2006
Last updated
08/30/2019
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