Basic Information
| Provider Information | |||||||||
| NPI: | 1164471827 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TURKI | ||||||||
| FirstName: | MOHAMED | ||||||||
| MiddleName: | A | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 709 DELWARE AVE | ||||||||
| Address2: | |||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 18015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4845263890 | ||||||||
| FaxNumber: | 4845263046 | ||||||||
| Practice Location | |||||||||
| Address1: | 5325 NORTHGATE DR | ||||||||
| Address2: | SUITE 209 | ||||||||
| City: | BETHLEHEM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 180179411 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6108662048 | ||||||||
| FaxNumber: | 6108665058 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/09/2006 | ||||||||
| LastUpdateDate: | 04/05/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RP1001X | MD423979 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Pulmonary Disease |
ID Information
| ID | Type | State | Issuer | Description | 0012335170004 | 05 | PA | MEDICAID | 50041629 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 1382145 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER |