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 only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as 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
Fax: (850) 522-5925
Website:

Health care specialties

SpecialtyCodeLicense #State
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 22nd, 2018 - about 6 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 1669887139 NPPES
Florida MEDICAID 020590600

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