DR. KHALDOUN MOHAMAD MOZAHEM (NPI# 1346730504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346730504 |
| Entity Type | Individual |
| Full Name | DR. KHALDOUN MOHAMAD MOZAHEM |
| Credential | MD |
| Practice Address |
527 Medical Park Drive Suite 204 Bridgeport WV 26330 |
| Practice Telephone | 3049333800 |
| Practice Fax Number | 3049333815 |
| Mailing Telephone | 3049333800 |
| Mailing Fax Number | 3049333815 |
| Enumeration Date | 2018-05-14 |
| Last Update Date | 2018-05-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
26493 | WV | Allopathic & Osteopathic Physicians |
| N | 2084S0012X |
Psychiatry & Neurology Specialization: Sleep Medicine |
26493 | WV | Allopathic & Osteopathic Physicians |
| Street Address |
527 MEDICAL PARK DRIVE SUITE 204 |
| City | BRIDGEPORT |
| State | WV |
| Zip Code | 26330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710961669 | Richard Allen Douglas | Neurological Surgery | 527 Medical Park Drive, Suite 401, Bridgeport, WV 26330 | 2005-12-05 |
| 1750682910 | Physician Office Building- Uhc | Obstetrics & Gynecology | 527 Medical Park Drive, Suite 108, Bridgeport, WV 26330-9007 | 2010-11-04 |
| 1659524635 | Advanced Diabetes & Endocrine Center | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2008-11-04 |
| 1023196391 | United Hospital Center, Inc | Anesthesiology | 527 Medical Park Drive, Ste 402, Bridgeport, WV 26330 | 2006-11-02 |
| 1306929476 | United Hospital Center, Inc | Neurological Surgery | 527 Medical Park Drive, Ste 401, Bridgeport, WV 26330 | 2006-10-23 |
| 1124114574 | Mazen Nashed | Internal Medicine | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2006-10-05 |
| 1003900283 | Saad Mossallati | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 527 Medical Park Drive, Suite 204, Bridgeport, WV 26330 | 2006-10-03 |
| 1497847651 | James Lee Bryant II | Otolaryngology | 527 Medical Park Drive, Suite 501, Bridgeport, WV 26330 | 2006-09-28 |
| 1881709970 | Syed N Haq | Internal Medicine | 527 Medical Park Drive, Suite 103, Bridgeport, WV 26330-9009 | 2006-08-20 |
| 1871531897 | Clarksburg Cardiology Consultants | Internal Medicine | 527 Medical Park Drive, Ste 306, Bridgeport, WV 26330-9008 | 2006-06-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303036 | Gage Mackenzie Chichester | Nurse Anesthetist, Certified Registered | 2673 Medical Park Drive, Bridgeport, WV 26330 | 2020-10-12 |
| 1851914105 | Melany Langhurst | Social Worker | 64 Professional Place, Suite 102, Bridgeport, WV 26330 | 2020-05-21 |
| 1245704980 | Adam Christopher Stonestreet | Social Worker | Community Care of Bridgeport, 65 Professional Place, Bridgeport, WV 26330 | 2019-01-16 |
| 1588146658 | Bridgeport Physical Therapy Services, Inc. | Occupational Therapist | 25 Sweetbrier Lane, Suite 105, Bridgeport, WV 26330 | 2018-09-05 |
| 1275040685 | White Oaks Assisted Living | Assisted Living Facility | 140 Professional Place White Oaks, Bridgeport, WV 26330 | 2018-01-08 |
| 1275049371 | Regional Eye Associates, Inc | Ophthalmology | 220 Southview Drive, Bridgeport, WV 26330 | 2017-12-27 |
| 1528586187 | Savanna Tamia Brown | Social Worker | 65 Professinal Place Suites 101,102103, Bridgeport, WV 26330 | 2017-09-05 |
| 1184079642 | Karla Kay Rinehart | Social Worker | 27 Trovato St., Suite 103, Bridgeport, WV 26330 | 2016-05-03 |
| 1396176756 | Willo Group LLC | Pharmacy | 460 E. Main Street, Bridgeport, WV 26330 | 2013-12-10 |
| 1891031878 | Sherri Michelle Dobson | Occupational Therapy Assistant | 1000 Maplewood Dr, Bridgeport, WV 26330 | 2012-12-20 |
| Find all providers in zip 26330 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043323199 | Adnan Alghadban | Psychiatry & Neurology | 527 Medical Park Drive, Ste. 204, Associated Specialists, Inc., Bridgeport, WV 26330 | 2006-08-15 |
| 1609985373 | Philip Anthony Micalizzi Jr. | Psychiatry & Neurology | 3180 Main Street, Ste 302, Bridgeport, CT 06606 | 2006-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730614512 | Synoptic Neurosciences Institute Inc | Psychiatry & Neurology | 1200 Harrison Ave Ste 146, Elkins, WV 26241 | 2017-04-28 |
| 1508245572 | Vasile Nicolae Popa | Psychiatry & Neurology | 1256 N Eisenhower Dr Ste 700, Beckley, WV 25801-3120 | 2015-05-24 |
| 1003253709 | Integrated Health Care Providers, Inc. | Psychiatry & Neurology | 1208 Hospital Drive, Hurricane, WV 25526 | 2013-06-04 |
| 1053670414 | Muhammad Taimoor Khan | Psychiatry & Neurology | 415 Morris St Ste 300, Charleston, WV 25301-1853 | 2012-05-04 |
| 1679716823 | James H. Sherry | Psychiatry & Neurology | 740 Cobun Creek Rd, Suite 1, Morgantown, WV 26508-3827 | 2009-04-16 |
| 1043489776 | Georgianna M Richards | Psychiatry & Neurology | 415 Carriage Dr, Beckley, WV 25801-2805 | 2008-02-27 |
| 1760506018 | Mouhannad Azzouz | Psychiatry & Neurology | 1325 Locust Ave Fl 3, Fairmont, WV 26554-1435 | 2007-03-19 |
| 1588742688 | Tri State Neurology Pllc | Psychiatry & Neurology | 2860 Third Ave, Suite 20, Huntington, WV 25702 | 2006-11-02 |
| 1457457723 | Alvaro R. Gutierrez | Psychiatry & Neurology | 2199 Cheat Rd, Morgantown, WV 26508-4451 | 2006-09-15 |
| 1063517753 | Panhandle Neurology Center, Inc. | Psychiatry & Neurology | 156 Health Care Ln, Martinsburg, WV 25401-4009 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 26330 |
Please comment or provide details below to improve the information on DR. KHALDOUN MOHAMAD MOZAHEM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.