Khalil, Taher

Khalil, Taher is an individual health care provider with primary practice located at 1425 Hand Ave Suite K, Ormond Beach FL 32174-1135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Khalil, Taher can be contacted via phone (386) 673-5404.

Contact Information

Primary practice address
1425 Hand Ave Suite K Ormond Beach FL 32174-1135
Phone: (386) 673-5404
Fax: (386) 673-5480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X ME81508 Florida
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X ME81508 Florida

Profile Details

NPI number 1821012113
LBN Legal business name Khalil, Taher
Credentials M D P A
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 27th, 2006
Last updated Nov 3rd, 2010 - about 16 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821012113 NPPES
Florida Other 3165111 CIGNA
Florida MEDICAID 264363400 CIGNA
Florida Other 78667 CIGNA
Florida Other 7902546 CIGNA

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