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NPI Code Detail

MEDICARE: MOHAMED KILANY MOHAMED MOHAM EBADH

MEDICARE:   MOHAMED KILANY MOHAMED MOHAM EBADH
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
1225100000XPhysical Therapist050484NY

General Provider Information

NPI Number : 1740126887
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED KILANY MOHAMED MOHAM EBADH
Provider Business Mailing Address
First Line : 618 80TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4022
Country : US
Telephone Number : 716-239-7519
Fax Number :
Provider Business Practice Location Address
First Line : 618 80TH ST
Second Line :
City : BROOKLYN
State : NY
Zip : 11209-4022
Country : US
Telephone Number : 716-239-7519
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2026
Last Update Date : 04/28/2026

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Directions to “ MOHAMED KILANY MOHAMED MOHAM EBADH ” Practice Location

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