Basic Information
Provider Information
NPI: 1518164565
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KHALID
FirstName: MUHAMMAD
MiddleName: RAZA
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
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Mailing Information
Address1: 111 HYMAN PL
Address2: APT# 310
City: PITTSBURGH
State: PA
PostalCode: 152134619
CountryCode: US
TelephoneNumber: 8609665174
FaxNumber:  
Practice Location
Address1: 3550 TERRACE ST
Address2: 655 SCAIFE HALL
City: PITTSBURGH
State: PA
PostalCode: 15261
CountryCode: US
TelephoneNumber: 4126473136
FaxNumber: 4126478060
Other Information
ProviderEnumerationDate: 07/02/2007
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0200XMT189745PAY Allopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine

No ID Information.


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