Mohammad Alkofahi
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Oxford, MS
NPI 1902648264 · NPPES record last updated Jun 8, 2024
Key facts
- NPI
- 1902648264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1100 Belk Blvd
Oxford, MS 38655-5242 - Phone
- (662) 636-1000
- Fax
- (662) 636-1670
- NPI assigned
- Jun 8, 2024
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240722003028 | MS | Order and Referring Only - Internal Medicine |
7012453426 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MS | Yes |
Addresses
Primary practice location
1100 Belk Blvd
Oxford, MS 38655-5242
Mailing address
1100 Belk Blvd
Oxford, MS 38655-5242
Phone (662) 636-1000
Other providers in Oxford, MS
- Madison Albert
- Rachel Leeandra Alcorn
- Aleigha Alexander
- Sangie Alford
- Ala Ahmad Suleiman Alkofahi
- Mohamed Allami
- Carol Anne Allen
- Curtis Brad Allen
- Jenna Leigh Anne James Allen
- John C. Allen
All providers in Oxford, MS · Student in an Organized Health Care Education/Training Program in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.