DR. MOHAMMAD ATIF KHALID M.D. NPI 1073503058

NPI Information

  • NPI: 1073503058
  • Provider Name: DR. MOHAMMAD ATIF KHALID, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 64 SHADY LN
    FANWOOD, NJ
    ZIP 07023
  • Phone: (585) 410-6266

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NPI Details

DR. Mohammad Atif Khalid, M.D. is a diagnostic radiology radiology in Fanwood, NJ with 27 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Mohammad Atif Khalid, M.D. NPI is 1073503058. 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:

64 SHADY LN
FANWOOD, NJ
ZIP 07023-719
Phone: (585) 410-6266

The NPI 1073503058 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 10/21/2005 and was last updated on 7/21/2014.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic RadiologyA99797CALIFORNIANo
22085R0202XRadiologyDiagnostic Radiology233108NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1I07398MEDICARE UPINNEW YORK
202564818MEDICAIDNEW YORK
3RA1927MEDICARE PIN

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: 11/21/2025

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