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NPI Code Detail

MEDICARE: DR. MUHAMMAD KHALID GONDAL M.D.

MEDICARE:  DR. MUHAMMAD KHALID GONDAL  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
1207RS0012XSleep Medicine (Internal Medicine) Physician16756NV
2207RP1001XPulmonary Disease Physician16756NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01344567OTHERKYRAILROAD MEDICARE

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 : 1902082795
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MUHAMMAD KHALID GONDAL M.D.
Provider Business Mailing Address
First Line : 715 MALL RING CIR STE 202
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6667
Country : US
Telephone Number : 702-483-5092
Fax Number :
Provider Business Practice Location Address
First Line : 715 MALL RING CIR STE 202
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6667
Country : US
Telephone Number : 702-483-5092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2008
Last Update Date : 06/23/2022

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Directions to “ DR. MUHAMMAD KHALID GONDAL M.D.” Practice Location

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