Individual
DR. MOHAMMAD ATIF KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
64 SHADY LN, FANWOOD, NJ 07023-1719
(585) 410-6266
Mailing address
64 SHADY LN, FANWOOD, NJ 07023-1719
(585) 410-6266
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
233108
NY
2085R0202X
Diagnostic Radiology Physician
A99797
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02564818
—
NY
Enumeration date
10/21/2005
Last updated
07/21/2014
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