Provider Demographics
NPI:1164471827
Name:TURKI, MOHAMED A (MD)
Entity Type:Individual
Prefix:
First Name:MOHAMED
Middle Name:A
Last Name:TURKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 DELWARE AVE
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18015
Mailing Address - Country:US
Mailing Address - Phone:484-526-3890
Mailing Address - Fax:484-526-3046
Practice Address - Street 1:5325 NORTHGATE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-9411
Practice Address - Country:US
Practice Address - Phone:610-866-2048
Practice Address - Fax:610-866-5058
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2013-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD423979207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0012335170004Medicaid
PA50041629OtherCAPITAL BLUE CROSS
PA1382145OtherHIGHMARK BLUE SHIELD
PAG80505Medicare UPIN
PA0012335170004Medicaid