Individual
MOHAMED KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS
Contact information
Practice address
1100 VIRGINIA AVE, COLUMBIA, MO 65212-0001
(573) 882-2663
(573) 882-1760
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
2009035015
MO
2086S0105X
Surgery of the Hand (Surgery) Physician
Primary
2009035015
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/02/2008
Last updated
04/20/2011
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