Provider Demographics
NPI:1689625311
Name:MOHSINI, KHAWAR G (MD)
Entity Type:Individual
Prefix:DR
First Name:KHAWAR
Middle Name:G
Last Name:MOHSINI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1447 N HARRISON ST
Mailing Address - Street 2:
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48602-4727
Mailing Address - Country:US
Mailing Address - Phone:989-583-4595
Mailing Address - Fax:989-583-4865
Practice Address - Street 1:1447 N HARRISON ST
Practice Address - Street 2:
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48602-4727
Practice Address - Country:US
Practice Address - Phone:989-583-4595
Practice Address - Fax:989-583-4865
Is Sole Proprietor?:No
Enumeration Date:2006-05-15
Last Update Date:2007-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MIKM0646432080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI3109613Medicaid
MI0730464Medicare UPIN