Provider Demographics
NPI:1619139672
Name:MOHAMMAD, KHALID (MD)
Entity Type:Individual
Prefix:
First Name:KHALID
Middle Name:
Last Name:MOHAMMAD
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 1:4529 KENTUCKY DR
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-3984
Mailing Address - Country:US
Mailing Address - Phone:312-799-1165
Mailing Address - Fax:
Practice Address - Street 1:LUNG AND SLEEP HEALTH CENTER
Practice Address - Street 2:1312 W. EXCHANGE PKWY
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-6319
Practice Address - Country:US
Practice Address - Phone:312-799-1165
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARE-7840207RP1001X
TXT5172207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease