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MOHAMAD KADKHODA MD NPI 1104802743


NPI Information

NPI: 1104802743
Provider Name: MOHAMAD KADKHODA, MD
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1300 W LEHIGH AVE
SUITE B
PHILADELPHIA, PA
ZIP 19132
Phone: (215) 226-8800
Get Directions

Mohamad Kadkhoda, MD is a pediatrics in Philadelphia, PA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Mohamad Kadkhoda, MD NPI is 1104802743. 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:

1300 W LEHIGH AVE
SUITE B
PHILADELPHIA, PA
ZIP 19132-701
Phone: (215) 226-8800
Fax: (215) 226-8819

The NPI 1104802743 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 12/15/2005 and was last updated on 1/21/2020.


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
1208000000XPediatricsMD 034718LPENNSYLVANIAYes
2208000000XPediatricsMD034718LPENNSYLVANIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10055553000OTHERPENNSYLVANIAINDEPENDENCE BLUE CROSS
2000692373MEDICAIDPENNSYLVANIA
32098859OTHERPENNSYLVANIAAETNA HMO
4P00025017OTHERPENNSYLVANIARR MEDICARE
510021AOTHERPENNSYLVANIAKMHP
6114698OTHERPENNSYLVANIAHIGHMARK BLUE SHIELD
75987421OTHERPENNSYLVANIAAETNA PPO

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: 11/14/2023

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.