Al-Khatib, Tareq

Al-Khatib, Tareq is an individual health care provider with primary practice located at 2852 Tamiami Trl Suite 5, Port Charlotte FL 33952-5125. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Al-Khatib, Tareq can be contacted via phone (941) 625-4442.

Contact Information

Primary practice address
2852 Tamiami Trl Suite 5 Port Charlotte FL 33952-5125
Phone: (941) 625-4442
Fax: (941) 625-9797
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-054967 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X ME0054121 Florida

Profile Details

NPI number 1972790020
LBN Legal business name Al-Khatib, Tareq
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Nov 15th, 2018 - about 8 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 1972790020 NPPES
Florida MEDICAID 049600600

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