Healthcare Provider Details

I. General information

NPI: 1699809715
Provider Name (Legal Business Name): MUHAMMAD A. KHALID, DPM,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2007
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2041 MARTIN LUTHER KING JR AVE SE SUITE 103
WASHINGTON DC
20020-7024
US

IV. Provider business mailing address

2041 MARTIN LUTHER KING JR AVE SE SUITE 103
WASHINGTON DC
20020-7024
US

V. Phone/Fax

Practice location:
  • Phone: 202-889-6020
  • Fax: 202-889-6021
Mailing address:
  • Phone: 202-889-6020
  • Fax: 202-889-6021

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberP0478
License Number StateDC

VIII. Authorized Official

Name: DR. MUHAMMAD A KHALID
Title or Position: OWNER
Credential: D.P.M.
Phone: 202-889-6020