Healthcare Provider Details

I. General information

NPI: 1740408772
Provider Name (Legal Business Name): MUHAMMED KHALED ZUHDI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 08/13/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 BEVERLY BLVD
WEST HOLLYWOOD CA
90048-1804
US

IV. Provider business mailing address

26709 WYATT LN
STEVENSON RANCH CA
91381-1001
US

V. Phone/Fax

Practice location:
  • Phone: 862-215-4753
  • Fax:
Mailing address:
  • Phone: 661-284-6692
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080H0002X
TaxonomyPediatric Hospice and Palliative Medicine Physician
License Number25MA06211500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: