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NPI Code Detail

MEDICARE: KHALED A MOHAMED MD

MEDICARE: KHALED A MOHAMED MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME91997FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144289620
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHALED A MOHAMED MD
Provider Business Mailing Address
First Line : 110 S WOODLAND ST
Second Line :
City : WINTER GARDEN
State : FL
Zip : 34787-3546
Country : US
Telephone Number : 407-905-8827
Fax Number : 321-221-9454
Provider Business Practice Location Address
First Line : 19108 E COLONIAL DR
Second Line :
City : ORLANDO
State : FL
Zip : 32820-3701
Country : US
Telephone Number : 407-905-8827
Fax Number : 407-660-1667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2006
Last Update Date : 12/04/2025

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Directions to “ KHALED A MOHAMED MD” Practice Location

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