MEDICARE: MOHAMMADI CHIROPRACTIC CLINIC PA

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	111N00000X	Chiropractor	NC3929	NC

General Provider Information

NPI Number	:	1700136322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOHAMMADI CHIROPRACTIC CLINIC PA

Provider Business Mailing Address
First Line	:	1003 HIGH HOUSE RD
Second Line	:	SUITE # 104
City	:	CARY
State	:	NC
Zip	:	27513-3585
Country	:	US
Telephone Number	:	919-238-5040
Fax Number	:	919-238-5042

Provider Business Practice Location Address
First Line	:	1003 HIGH HOUSE RD
Second Line	:	SUITE # 104
City	:	CARY
State	:	NC
Zip	:	27513-3585
Country	:	US
Telephone Number	:	919-238-5040
Fax Number	:	919-238-5042

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZAHRA MOHAMMADI
Credential	:	D.C
Telephone Number	:	919-389-6513

Provider Enumeration Date	:	09/11/2012
Last Update Date	:	09/11/2012

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Directions to “MOHAMMADI CHIROPRACTIC CLINIC PA ” Practice Location

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