Provider Demographics
NPI:1891786729
Name:ALNABELSI, MOHAMAD KHALDOUN (MD)
Entity Type:Individual
Prefix:DR
First Name:MOHAMAD
Middle Name:KHALDOUN
Last Name:ALNABELSI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1558
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92261-1558
Mailing Address - Country:US
Mailing Address - Phone:760-773-5350
Mailing Address - Fax:760-773-0098
Practice Address - Street 1:39000 BOB HOPE DR
Practice Address - Street 2:K208
Practice Address - City:RANCHO MIRAGE
Practice Address - State:CA
Practice Address - Zip Code:92270-3221
Practice Address - Country:US
Practice Address - Phone:760-773-5350
Practice Address - Fax:760-773-0098
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-31
Last Update Date:2010-06-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA061138207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
F26977Medicare UPIN