Individual
DR. KHALDOUN MOHAMAD MOZAHEM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
527 MEDICAL PARK DRIVE, SUITE 204, BRIDGEPORT, WV 26330
(304) 933-3800
(304) 933-3815
Mailing address
527 MEDICAL PARK DRIVE, SUITE 204, BRIDGEPORT, WV 26330
(304) 933-3800
(304) 933-3815
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
26493
WV
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
26493
WV
Other
Enumeration date
05/14/2018
Last updated
09/14/2022
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