MEDICARE: DR. MUHAMMAD A KHALID DPM

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	213E00000X	Podiatrist	PO478	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	60167058	OTHER	DC	AMERIHEALTH CARITAS DISTRICT OF COLUMBIA
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	246484	OTHER	DC	M.D. IPA
4	000594594	OTHER	DC	APWU

General Provider Information

NPI Number	:	1720058928
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MUHAMMAD A KHALID DPM

Provider Business Mailing Address
First Line	:	2041 MARTIN LUTHER KING JR AVE SE
Second Line	:	SUITE 103
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7024
Country	:	US
Telephone Number	:	202-889-6020
Fax Number	:	202-889-6021

Provider Business Practice Location Address
First Line	:	2041 MARTIN LUTHER KING JR AVE SE
Second Line	:	SUITE 103
City	:	WASHINGTON
State	:	DC
Zip	:	20020-7024
Country	:	US
Telephone Number	:	202-889-6020
Fax Number	:	202-889-6021

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

Provider Enumeration Date	:	01/23/2006
Last Update Date	:	08/14/2015

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