Provider Demographics
NPI:1740422427
Name:KNIGHT MD INCORPORATED
Entity Type:Organization
Organization Name:KNIGHT MD INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:SAMI
Authorized Official - Last Name:AKRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:877-870-9301
Mailing Address - Street 1:31566 RAILROAD CANYON RD
Mailing Address - Street 2:2-130
Mailing Address - City:CANYON LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:92587-9446
Mailing Address - Country:US
Mailing Address - Phone:877-870-9301
Mailing Address - Fax:877-882-0462
Practice Address - Street 1:1125 SIR FRANCIS DRAKE BLVD
Practice Address - Street 2:
Practice Address - City:KENTFIELD
Practice Address - State:CA
Practice Address - Zip Code:94904-1418
Practice Address - Country:US
Practice Address - Phone:877-870-9301
Practice Address - Fax:877-882-0462
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC52438207RC0200X, 207UN0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care MedicineGroup - Multi-Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Multi-Specialty