MOHAMED CHEBACLO MD – NPI #1386708931
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Health Care Provider Taxonomy Code for Internal Medicine

MOHAMED CHEBACLO is a physician located in GRAND FORKS, ND. NPPES has assigned the NPI number 1386708931 to MOHAMED CHEBACLO on December 20, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 19 years ago on Oct 23, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOHAMED CHEBACLO below.

NPI Profile for
MOHAMED CHEBACLO

NPI Number
1386708931
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MOHAMED CHEBACLO
Credentials
MD
Primary location
1000 S COLUMBIA RD
GRAND FORKS, ND 58201-4032
Phone: (701) 780-5000 Fax:
Mailing address
PO BOX 6002
GRAND FORKS, ND 58206-6002
Phone: (701) 780-5000 Fax:
Sole Proprietor
No
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)		 ND 8707

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MOHAMED CHEBACLO is affiliated with the following medical group(s):
  • HOSPITAL
    • BELOIT HEALTH SYSTEM
      1969 W HART RD
      BELOIT, WI 53511
    • MARSHFIELD MEDICAL CENTER
      611 ST JOSEPH AVE
      MARSHFIELD, WI 54449
    • MARSHFIELD MEDICAL CENTER - EAU CLAIRE
      2310 CRAIG RD
      EAU CLAIRE, WI 54701
    • MARSHFIELD MEDICAL CENTER - LADYSMITH
      900 COLLEGE AVE WEST
      LADYSMITH, WI 54848
    • MARSHFIELD MEDICAL CENTER - RICE LAKE
      1700 WEST STOUT STREET
      RICE LAKE, WI 54868

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