Mahmoud Khellah, MD
Student in an Organized Health Care Education/Training Program in Paterson, NJ. Individual provider (NPI-1).
NPI number1942002183
StatusActive
Last updated in NPPESMar 26, 2025
Details
- NPI
- 1942002183
- Entity type
- Individual (NPI-1)
- Name
- Mahmoud Khellah
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 26, 2025
- Certification date
- Mar 26, 2025
- Last updated
- Mar 26, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
703 Main StPaterson, NJ 07503-2621
Phone 973-754-2431
Mailing address
703 Main StPaterson, NJ 07503-2621
Phone 973-754-2431
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