Provider Demographics
NPI:1710913116
Name:ALLAHRAKHA, MOHAMMED FEROZ (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMMED
Middle Name:FEROZ
Last Name:ALLAHRAKHA
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 1:7351 W OAKLAND PARK BLVD
Mailing Address - Street 2:103
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33319-7107
Mailing Address - Country:US
Mailing Address - Phone:954-716-6100
Mailing Address - Fax:954-533-0870
Practice Address - Street 1:7351 W OAKLAND PARK BLVD
Practice Address - Street 2:103
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33319-7107
Practice Address - Country:US
Practice Address - Phone:954-716-6100
Practice Address - Fax:954-533-0870
Is Sole Proprietor?:No
Enumeration Date:2006-06-25
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85068207Q00000X, 207Q00000X
IL036-100925207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL264842300Medicaid
FLE8114AMedicare ID - Type Unspecified
FLH15115Medicare UPIN