Individual
KHALED MOHAMED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 868-6643
Mailing address
4300B W RAILROAD ST, GULFPORT, MS 39501-2568
(228) 863-7393
(228) 868-6643
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
065587
GA
207RN0300X
Nephrology Physician
2005012191
MO
207RN0300X
Nephrology Physician
Primary
27664
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207590803
—
MO
Enumeration date
05/10/2006
Last updated
07/23/2024
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