Wadud, Khurram
Wadud, Khurram is an individual health care provider with primary practice located at 915 W Monroe St Ste 200 , Jacksonville FL 32204-1177. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism. Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism is his primary health care specialty. Wadud, Khurram can be contacted via phone (904) 384-2240.Contact Information
Primary practice address
915 W Monroe St Ste 200
Jacksonville FL 32204-1177
Phone: (904) 384-2240
Fax: (904) 486-2314
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | ME97274 | Florida |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ME97274 | Florida |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME97274 | Florida |
Profile Details
| NPI number | 1801877576 |
|---|---|
| LBN Legal business name | Wadud, Khurram |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 9th, 2005 |
| Last updated | Feb 4th, 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 | 1801877576 | NPPES |
| Florida | MEDICAID | 000212900 |
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