Individual
DR. KHALID B MOHAMMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-6199
Mailing address
13127 VAIL RIDGE DR, RIVERVIEW, FL 33579-7196
(813) 661-6199
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101023548
MI
207RC0000X
Cardiovascular Disease Physician
5101023548
MI
207RC0000X
Cardiovascular Disease Physician
OS20816
FL
207RI0011X
Interventional Cardiology Physician
Primary
OS20816
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122618500
—
FL
01
—
XB407
HFMG
FL
Enumeration date
06/27/2017
Last updated
04/10/2026
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