DR. MOHSIN RIAZ KHALIQUE M.D. NPI 1124083589

NPI Information

NPI: 1124083589
Provider Name: DR. MOHSIN RIAZ KHALIQUE, M.D.
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Individual

Specialization: Child & Adolescent Psychiatry

PECOS Registration: Yes

Address:
5505 SATINLEAF WAY
SAN RAMON, CA
ZIP 94582
Phone: (925) 365-1216
Get Directions

DR. Mohsin Riaz Khalique, M.D. is a child and adolescent psychiatry psychiatry neurology in San Ramon, CA. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. DR. Mohsin Riaz Khalique, M.D. NPI is 1124083589. 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:

5505 SATINLEAF WAY
SAN RAMON, CA
ZIP 94582-059
Phone: (925) 365-1216

The NPI 1124083589 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 4/19/2006 and was last updated on 10/24/2012.

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
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	22590	WEST VIRGINIA	No
2	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	35083976	OHIO	No
3	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	A 98212	CALIFORNIA	Yes

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
1	2459156	MEDICAID	OHIO
2	3810000218	MEDICAID	WEST VIRGINIA

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

NPI Synchronization or Removal

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