Provider Demographics
NPI:1396059705
Name:ALSHAREDI, MOHAMED F (MD)
Entity type:Individual
Prefix:
First Name:MOHAMED
Middle Name:F
Last Name:ALSHAREDI
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 1:2195 HARRODSBURG RD FL 2
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40504-3516
Mailing Address - Country:US
Mailing Address - Phone:859-258-4673
Mailing Address - Fax:859-258-6539
Practice Address - Street 1:2195 HARRODSBURG RD FL 2
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40504-3516
Practice Address - Country:US
Practice Address - Phone:859-258-4673
Practice Address - Fax:859-258-6539
Is Sole Proprietor?:No
Enumeration Date:2010-07-28
Last Update Date:2021-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY54566207RH0003X, 207RX0202X
KYTP671207RX0202X
WV25459207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
No207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology