Basiouny, Khaled

Basiouny, Khaled is an sole proprietor health care provider with primary practice located at 603 7Th St S Ste 500 , St Petersburg FL 33701-4734. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Basiouny, Khaled can be contacted via phone (727) 893-6254.

Contact Information

Primary practice address
603 7Th St S Ste 500 St Petersburg FL 33701-4734
Phone: (727) 893-6254
Fax: (727) 553-7158
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 0101249902 Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X ME126820 Florida
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 0101249902 Virginia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X MD 041906 District of Columbia
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 2009-00306 North Carolina

Profile Details

NPI number 1467657890
LBN Legal business name Basiouny, Khaled
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2007
Last updated Jun 30th, 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 1467657890 NPPES
Florida MEDICAID 019313700

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