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MOHAMED MOHAMED KELLI D.O NPI 1881089852


NPI Information

NPI: 1881089852
Provider Name: MOHAMED MOHAMED KELLI, D.O
Classification: Surgery - 2086S0102X
Entity Type: Individual

Specialization: Surgical Critical Care

PECOS Registration: Yes

Address:
920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC
ZIP 29572
Phone: (843) 497-6348
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Mohamed Mohamed Kelli, D.O is a surgical critical care surgery in Myrtle Beach, SC with 9 years of experience. The provider is a surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. Mohamed Mohamed Kelli, D.O NPI is 1881089852. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

920 DOUG WHITE DR STE 210
MYRTLE BEACH, SC
ZIP 29572-181
Phone: (843) 497-6348
Fax: (843) 497-6351

The NPI 1881089852 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/6/2015 and was last updated on 10/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208600000XSurgery87684SOUTH CAROLINANo
22086S0102XSurgerySurgical Critical Care5101026254MICHIGANNo
3390200000XStudent in an Organized Health Care Education/Training ProgramNo
42086S0102XSurgerySurgical Critical Care87684SOUTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.