Khashaba Llc

LBN: Khashaba Llc
Khashaba Llc is an health care organization with primary practice located at 250 N Wickham Rd , Melbourne FL 32935-8625. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as the primary health care specialty. Khashaba Llc can be contacted via phone (321) 752-1517, or through Kashaba, Omar A via phone (201) 888-8250.

Contact Information

Primary practice address
250 N Wickham Rd Melbourne FL 32935-8625
Phone: (321) 752-1517
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kashaba, Omar A Doctor of Medicine (MD)
Phone: (201) 888-8250

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X

Profile Details

NPI number 1215435870
LBN Legal business name Khashaba Llc
DBA Doing business as
Authorized official Kashaba, Omar A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2018
Last updated Nov 17th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215435870 NPPES
Florida Other JH488A MEDICARE PTAN
Florida MEDICAID 024500900 MEDICARE PTAN
Florida Other FY303T MEDICARE PTAN
Florida Other DY1649 MEDICARE PTAN
Florida MEDICAID 004665600 MEDICARE PTAN

Popular Providers