Mohammed Alwahaidy, MD

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Knoxville, TN

NPI 1356979751 · NPPES record last updated Jun 14, 2024

Key facts

NPI
1356979751
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
1924 Alcoa Hwy
Knoxville, TN 37920-1511
Phone
(865) 305-9339
NPI assigned
Mar 31, 2020
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

1924 Alcoa Hwy
Knoxville, TN 37920-1511

Mailing address

603 Warren St
Fayetteville, NY 13066-2322
Phone (315) 637-2807

Other providers in Knoxville, TN

All providers in Knoxville, TN · Student in an Organized Health Care Education/Training Program in Tennessee

Sources for this page

Verify at the official NPI Registry.