Thomas, Khannia Erif

Thomas, Khannia Erif is an individual health care provider with primary practice located at 212 E Main St , Tavares FL 32778-3808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Thomas, Khannia Erif can be contacted via phone (407) 905-8827.

Contact Information

Primary practice address
212 E Main St Tavares FL 32778-3808
Phone: (407) 905-8827
Fax: (352) 742-3264
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 2011024868 Missouri
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME123627 Florida

Profile Details

NPI number 1770756587
LBN Legal business name Thomas, Khannia Erif
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2008
Last updated Jun 26th, 2020 - about 5 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 1770756587 NPPES
Florida MEDICAID 014797300

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