MEDICARE: DIVIS K KHAIRA 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	207RH0003X	Hematology & Oncology Physician	319482	NY
2	207RH0003X	Hematology & Oncology Physician	2014-00861	NC
3	207RH0003X	Hematology & Oncology Physician	ME172684	FL
4	208M00000X	Hospitalist Physician	ME172684	FL
5	207R00000X	Internal Medicine Physician	2014-00861	NC
6	207RH0003X	Hematology & Oncology Physician	2648	WI
7	207RH0003X	Hematology & Oncology Physician	MD60789499	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1285637298
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIVIS K KHAIRA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 100224
Second Line	:
City	:	GAINESVILLE
State	:	FL
Zip	:	32610-0278
Country	:	US
Telephone Number	:	352-273-7832
Fax Number	:

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR STE 300
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7809
Country	:	US
Telephone Number	:	239-343-9567
Fax Number	:	239-343-9571

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/01/2025

Similar Medicare Providers

1427261726 — DR. JORGE V PEREZ DE ARMAS MD
Practice Location Address:

8931 COLONIAL CENTER DR STE 300
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9567
Practice Fax: 239-343-9571

1811103971 — MS. BERNICE D BAWAYAN PA
Practice Location Address:

8931 COLONIAL CENTER DR STE 100
FORT MYERS, FL
33905-7809

Practice Phone: 239-226-2727
Practice Fax: 239-939-9876

1578352290 — ASHLEY RUBIN DAVIS
Practice Location Address:

8931 COLONIAL CENTER DR STE 200
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9500
Practice Fax: 239-343-9501

1801597737 — SARAH MCCAIN TUCKER PA-C
Practice Location Address:

8931 COLONIAL CENTER DR STE 400
FORT MYERS, FL
33905-7809

Practice Phone: 239-334-6626
Practice Fax:

1457349003 — RIE AIHARA MD
Practice Location Address:

8931 COLONIAL CENTER DR , SUITE 301
FORT MYERS, FL
33905-7809

Practice Phone: 239-277-5770
Practice Fax: 239-985-1911

1982643474 — MICHAEL STANLEY WERTHEIM MD
Practice Location Address:

8931 COLONIAL CENTER DR STE 300
FORT MYERS, FL
33905-7809

Practice Phone: 239-343-9567
Practice Fax: 239-343-9571

Directions to “ DIVIS K KHAIRA M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.