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NPI Code Detail

MEDICARE: ERUM KHALID D.O.

MEDICARE: ERUM KHALID D.O.
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
1207Q00000XFamily Medicine Physician299957NY
2207Q00000XFamily Medicine PhysicianBP1005582TX

General Provider Information

NPI Number : 1043662323
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERUM KHALID D.O.
Provider Business Mailing Address
First Line : 2136 CREEKSIDE CIR S
Second Line :
City : IRVING
State : TX
Zip : 75063-3388
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 730 BROOK AVE
Second Line :
City : BRONX
State : NY
Zip : 10455-1333
Country : US
Telephone Number : 214-770-6089
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2016
Last Update Date : 10/11/2019

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