MEDICARE: MADIHA KHALID M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	C179811	CA
2	207R00000X	Internal Medicine Physician	ME126687	FL
3	207R00000X	Internal Medicine Physician	125062204	IL
4	208M00000X	Hospitalist Physician	MD-25739	HI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME126687	OTHER	FL	FLORIDA MEDICAL LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1437413648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADIHA KHALID M.D.

Provider Business Mailing Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-841-3581
Fax Number	:	321-841-4085

Provider Business Practice Location Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-841-3581
Fax Number	:	321-841-4085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2012
Last Update Date	:	06/03/2026

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