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NPI Code Detail

MEDICARE: DR. MOHAMED ABDEL HAKEEM KHALAF MD

MEDICARE:  DR. MOHAMED ABDEL HAKEEM KHALAF  MD
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 PhysicianME74652FL
2207Q00000XFamily Medicine Physician34115AL
3207VG0400XGynecology PhysicianME74652FL
4207VG0400XGynecology Physician34115AL
5208M00000XHospitalist PhysicianME74652FL
6208M00000XHospitalist Physician34115AL

Other Identifiers

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

General Provider Information

NPI Number : 1528004595
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MOHAMED ABDEL HAKEEM KHALAF MD
Provider Business Mailing Address
First Line : 1640 SAND KEY ESTATES CT
Second Line :
City : CLEARWATER BEACH
State : FL
Zip : 33767-2978
Country : US
Telephone Number : 716-622-4374
Fax Number :
Provider Business Practice Location Address
First Line : 1640 SAND KEY ESTATES CT
Second Line :
City : CLEARWATER BEACH
State : FL
Zip : 33767-2978
Country : US
Telephone Number : 716-622-4374
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2006
Last Update Date : 01/16/2019

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