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NPI Code Detail

MEDICARE: MOHAMED ABDOULLAH KHAMSI AG-ACNP

MEDICARE: MOHAMED ABDOULLAH KHAMSI AG-ACNP
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
1363LG0600XGerontology Nurse PractitionerAP140232TX
2363LA2100XAcute Care Nurse PractitionerAP140232TX

General Provider Information

NPI Number : 1811461197
Entity Type Code : Individual
Provider Name (Legal Business Name) : MOHAMED ABDOULLAH KHAMSI AG-ACNP
Provider Business Mailing Address
First Line : 2000 TRANS MOUNTAIN RD STE B400
Second Line :
City : EL PASO
State : TX
Zip : 79911-3601
Country : US
Telephone Number : 915-215-8400
Fax Number :
Provider Business Practice Location Address
First Line : 2325 NEVADA AVE
Second Line :
City : LAS CRUCES
State : NM
Zip : 88001-3902
Country : US
Telephone Number : 915-346-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2019
Last Update Date : 11/11/2025

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