Provider Demographics
NPI:1033704358
Name:KHODEIRY, MOHAMED MAGDY (MD, MSC)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:MAGDY
Last Name:KHODEIRY
Suffix:
Gender:M
Credentials:MD, MSC
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Mailing Address - Street 1:112 WASHINGTON PL APT 508
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4707
Mailing Address - Country:US
Mailing Address - Phone:929-418-9586
Mailing Address - Fax:
Practice Address - Street 1:110 CONN TER STE 550
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40508-3206
Practice Address - Country:US
Practice Address - Phone:859-323-5867
Practice Address - Fax:859-323-8510
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PALT000931207W00000X
FL32181207WX0109X
KYFL072207WX0110X, 207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No207WX0109XAllopathic & Osteopathic PhysiciansOphthalmologyNeuro-ophthalmology
No207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist