NPI 1306278288 · live from the CMS NPI Registry
Mohammad Khaled Tashkandi, M.D.
Internal Medicine, Gastroenterology in Edwardsville, PA. National Provider Identifier 1306278288, active.
NPI record
| NPI | 1306278288 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 490 Northampton St Ste 1, Edwardsville, PA 18704 |
| Practice phone | 570-288-8100 |
| Enumerated | August 2, 2013 |
| Last updated | September 11, 2019 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | 4301102659 (MI) |
| General Acute Care Hospital, Critical Access | 282NC0060X | MD044161 (DC) |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD466440 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.