Organization
MD HOMECARE LLC
Active
Parent organization
MD HOMECARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MD HOMECARE, LLC
Authorized official
MOHAMED KHALIL (CEO)
(602) 362-2983
Entity
Organization
Contact information
Practice address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 362-2983
(480) 565-4552
Mailing address
9225 N 3RD ST STE 102, PHOENIX, AZ 85020-2455
(602) 362-2983
(480) 565-4552
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1720524333
NPI
AZ
05
—
290653
—
AZ
Enumeration date
01/06/2017
Last updated
07/05/2023
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