Provider Demographics
NPI:1710410535
Name:MOHAMMED, KHALED S (MD)
Entity type:Individual
Prefix:
First Name:KHALED
Middle Name:S
Last Name:MOHAMMED
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57845
Mailing Address - Street 2:
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-7845
Mailing Address - Country:US
Mailing Address - Phone:346-338-2665
Mailing Address - Fax:
Practice Address - Street 1:14100 SOUTHWEST FWY STE 500
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-3483
Practice Address - Country:US
Practice Address - Phone:346-338-2665
Practice Address - Fax:346-207-0163
Is Sole Proprietor?:No
Enumeration Date:2017-04-08
Last Update Date:2025-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN66596208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics