Individual
KHALID ALHAJ AHMED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
332443
LA
207R00000X
Internal Medicine Physician
4301116980
MI
207RN0300X
Nephrology Physician
Primary
36666
NE
207RN0300X
Nephrology Physician
MD-54228
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386094944
—
WI
01
—
4301110181
MEDICAL LICENSE
MI
Enumeration date
06/15/2016
Last updated
02/10/2025
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