Al-Farawi, Khaled Mohammed
Al-Farawi, Khaled Mohammed is an sole proprietor health care provider with primary practice located at 528 W Baldwin Rd , Panama City FL 32405-3313. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Al-Farawi, Khaled Mohammed can be contacted via phone (850) 522-1522.Contact Information
Primary practice address
528 W Baldwin Rd
Panama City FL 32405-3313
Phone: (850) 522-1522
Fax: (850) 522-5925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | U5058 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ME131759 | Florida |
Profile Details
| NPI number | 1669887139 |
|---|---|
| LBN Legal business name | Al-Farawi, Khaled Mohammed |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 24th, 2014 |
| Last updated | Feb 25th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669887139 | NPPES |
| Florida | MEDICAID | 020590600 |
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