Mohammed Khaleeluddin in Rockford - Family Medicine

Mohammed Khaleeluddin - NPI 1205976024

Mohammed Khaleeluddin is a Family Medicine in Rockford, Illinois. Mohammed Khaleeluddin practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Mohammed Khaleeluddin is 1205976024. The last update date is 2007-07-08.

Mohammed Khaleeluddin's current location address is 1729 Oak Park Drive, Rockford, Illinois. You can contact this provider via phone number 8153950632 and fax number 8153950632. The mailing address for Mohammed Khaleeluddin is 1729 Oak Park Drive, Rockford, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Mohammed Khaleeluddin
Address 1729 Oak Park Drive, Rockford, Illinois
Phone Number 8153950632
Fax Number 8153950632
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1205976024
Provider Enumeration Date 2007-02-08
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1729 Oak Park Drive
City Rockford
State Illinois (IL)
Post Code 611075510
Phone Number 8153950632
Fax Number 8153950632

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No 36087482
Definition:
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4132023 BLUE CROSS BLUE SHIELD

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FAQs about Mohammed Khaleeluddin

What is the Mohammed Khaleeluddin's unique identification number?

The Mohammed Khaleeluddin has been assigned the NPI (National Provider Identifier) Number 1205976024 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete physical location address of Mohammed Khaleeluddin?

The Mohammed Khaleeluddin is physically situated at 1729 Oak Park Drive, in the city of Rockford, state of IL, with the postal code 611075510.

What is the area of specialization for Mohammed Khaleeluddin, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Mohammed Khaleeluddin is Family Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1205976024 to Mohammed Khaleeluddin?

The Centers for Medicare & Medicaid Services assigned the 1205976024 to Mohammed Khaleeluddin on 2007-02-08.

When was the information regarding Mohammed Khaleeluddin, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Mohammed Khaleeluddin, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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