Khalid Mohamed (NPI# 1427086719, PAC ID# 7719959204) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.
| Nation Provider ID (NPI) | 1427086719 |
| PAC ID by PECOS | 7719959204 |
| Professional Enrollment ID | I20040805001711 |
| Full Name | Khalid Mohamed |
| Organization Legal Name | ELM TREE CLINIC LLC |
| Address |
12 Wood St Lowell MA 01851-1532 |
| Phone Number | 9783414144 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1980 |
| Primary Specialty | GENERAL PRACTICE |
| Secondary Specialties | FAMILY MEDICINE |
| Group Practice PAC ID | 7517203300 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12 Wood St, Lowell, MA 01851-1532 | 9783414144 | ELM TREE CLINIC LLC |
| 21 School St, Suite 1, Quincy, MA 02169-6640 | 6173023343 | ELM TREE CLINIC LLC |
| Organization Legal Name | ELM TREE CLINIC LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Stavitsky | Pediatric Medicine | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Chinyere Mmaku Ofurum-ononiwu | Nurse Practitioner | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Michelle Marie Jean-baptiste | Clinical Social Worker | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| David S Chapin | Obstetrics/gynecology | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Loudelyne Petit Taabazuing | Nurse Practitioner | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Lawrence Litman | Psychiatry | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Seema Gupta | Addiction Medicine | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Street Address |
12 WOOD ST |
| City | LOWELL |
| State | MA |
| Zip | 01851-1532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Igor Stavitsky | Pediatric Medicine | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Chinyere Mmaku Ofurum-ononiwu | Nurse Practitioner | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Michelle Marie Jean-baptiste | Clinical Social Worker | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| David S Chapin | Obstetrics/gynecology | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Loudelyne Petit Taabazuing | Nurse Practitioner | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Lawrence Litman | Psychiatry | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Seema Gupta | Addiction Medicine | Elm Tree Clinic LLC | 12 Wood St, Lowell, MA 01851-1532 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gregory E Crossman, Jr | Physical Therapy | 1703 Middlesex St, Lowell, MA 01851-1130 | |
| Michael P Delisle | Nurse Practitioner | South Bay Mental Health Center, Inc. | 22 Old Canal Dr, Lowell, MA 01851-2730 |
| Olga Lisysyan | Clinical Social Worker | South Bay Mental Health Center, Inc. | 22 Old Canal Dr, Lowell, MA 01851-2730 |
| Ashok K Joshi | General Practice | Joshi Medical Services, PC | 16 Pine St, Suite 5, Lowell, MA 01851-3100 |
| Malathi K Bhat | General Practice | Cbc Medical Center, LLC | 16 Pine St, Suite 5, Lowell, MA 01851-3100 |
| Patrick J Linehan | Certified Registered Nurse Anesthetist (crna) | Lowell Anesthesia Associates Pllc | 59 Lowes Way, Lowell, MA 01851-5018 |
| Geeta R Trivedi | Anesthesiology | Lowell Anesthesia Associates Pllc | 59 Lowes Way, Lowell, MA 01851-5018 |
| Catherine Lannon | Anesthesiology | Lowell Anesthesia Associates Pllc | 59 Lowes Way, Lowell, MA 01851-5018 |
| Vikram P Narayan | Anesthesiology | Lowell Anesthesia Associates Pllc | 59 Lowes Way, Lowell, MA 01851-5018 |
| David M Bangura | Certified Registered Nurse Anesthetist (crna) | Lowell Anesthesia Associates Pllc | 59 Lowes Way, Lowell, MA 01851-5018 |
| Find all physicians in zip 01851 | |||
| City | LOWELL |
| Zip Code | 01851 |
| Specialty | GENERAL PRACTICE |
| City + Specialty | LOWELL + GENERAL PRACTICE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.