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1427051705

NPI Code Detail

MEDICARE: MOHAMMAD K KHEDR MD

MEDICARE: MOHAMMAD K KHEDR 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
1	207RP1001X	Pulmonary Disease Physician	L3359	TX
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	L3359	TX
3	207R00000X	Internal Medicine Physician	70394	AZ
4	207R00000X	Internal Medicine Physician	C4978	KY
5	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	70394	AZ
6	207RS0012X	Sleep Medicine (Internal Medicine) Physician	L3359	TX
7	207R00000X	Internal Medicine Physician	L3359	TX
8	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	51667	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	8DY223	OTHER	TX	BCBS
3	75-2616977-042	OTHER	TX	TRICARE

General Provider Information

NPI Number	:	1427051705
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOHAMMAD K KHEDR MD

Provider Business Mailing Address
First Line	:	PO BOX 846098
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75284-6098
Country	:	US
Telephone Number	:	903-324-6450
Fax Number	:

Provider Business Practice Location Address
First Line	:	6200 N LA CHOLLA BLVD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85741-3529
Country	:	US
Telephone Number	:	520-742-9000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	04/14/2026

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Directions to “ MOHAMMAD K KHEDR MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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