MEDICARE: PALM BEACH INTEGRATIVE RHEUMATOLOGY INC

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	207RR0500X	Rheumatology Physician

General Provider Information

NPI Number	:	1043096712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PALM BEACH INTEGRATIVE RHEUMATOLOGY INC

Provider Business Mailing Address
First Line	:	601 UNIVERSITY BLVD STE 202
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-2788
Country	:	US
Telephone Number	:	561-658-1323
Fax Number	:	561-775-4990

Provider Business Practice Location Address
First Line	:	601 UNIVERSITY BLVD STE 202
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-2788
Country	:	US
Telephone Number	:	561-658-1323
Fax Number	:	561-775-4990

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. RESHMA M KHAN
Credential	:	MD
Telephone Number	:	561-658-1323

Provider Enumeration Date	:	09/07/2023
Last Update Date	:	06/11/2026

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