NPI 1194352351 · live from the CMS NPI Registry
Mohammed Khalafallah Badi, MD
Psychiatry & Neurology, Neurology in Jacksonville, FL. National Provider Identifier 1194352351, active.
NPI record
| NPI | 1194352351 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 4500 San Pablo Rd S, Jacksonville, FL 32224 |
| Practice phone | 904-953-2000 |
| Enumerated | March 26, 2020 |
| Last updated | December 17, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | ME169705 (FL) |
| Internal Medicine | 207R00000X | TRN31018 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.