Healthcare Provider Details

I. General information

NPI: 1225724206
Provider Name (Legal Business Name): TEHREEM KHALID MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/13/2023
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2024 CHESTNUT ST
MONTGOMERY AL
36106-1111
US

IV. Provider business mailing address

8652 MELBOURNE CIR
MONTGOMERY AL
36117-8980
US

V. Phone/Fax

Practice location:
  • Phone: 334-293-4008
  • Fax:
Mailing address:
  • Phone: 210-772-3989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License Number53261
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: