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NPI Code Detail

MEDICARE: MOHAMED S. KHODEIR M.D.

MEDICARE: MOHAMED S. KHODEIR M.D.
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
12084P0800XPsychiatry Physician35.146058OH
22084P0800XPsychiatry Physician36010KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801843024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED S. KHODEIR M.D.
Provider Business Mailing Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-421-3111
Provider Business Practice Location Address
First Line : 1301 N HIGH ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43201-2460
Country : US
Telephone Number : 614-299-6600
Fax Number : 614-421-3111
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2006
Last Update Date : 02/20/2023

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Directions to “ MOHAMED S. KHODEIR M.D.” Practice Location

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