Individual
DR. MOHAMMAD KHALED TASHKANDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
490 NORTHAMPTON ST STE 1, EDWARDSVILLE, PA 18704
(570) 288-8100
(570) 288-8100
Mailing address
490 NORTHAMPTON ST STE 1, EDWARDSVILLE, PA 18704-4551
(570) 288-8100
(570) 288-8100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301102659
MI
207RG0100X
Gastroenterology Physician
Primary
MD466440
PA
282NC0060X
Critical Access Hospital
MD044161
DC
Other
Enumeration date
08/02/2013
Last updated
09/11/2019
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