Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MOHAMAD A KHODAIR, MD, PHD
ActiveDR. MOHAMAD A KHODAIR, MD, PHD is a 202C00000X healthcare provider located in PINE BROOK, New Jersey. NPI 1790353936 is currently active in the NPPES registry. Verify at CMS.
202C00000X · PINE BROOK, NJ
Registration Details
- NPI Number
- 1790353936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 14, 2021 (5.1416573406297 yrs)
- Last Updated
- Jun 14, 2021
- License
-
MD-GTL-20-01063 (NJ)
Practice Information
- Address
-
25 RIVERSIDE DR STE 2PINE BROOK, NJ, 070589391Browse NJ providers · Browse ZIP 07058
- Phone
- 2016930127
- Primary Specialty
-
202C00000X
202C00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.