Khadr, Nagwa

Khadr, Nagwa is an individual health care provider with primary practice located at 2120 Sarno Rd , Melbourne FL 32935-3084. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Khadr, Nagwa can be contacted via phone (321) 241-6800.

Contact Information

Primary practice address
2120 Sarno Rd Melbourne FL 32935-3084
Phone: (321) 241-6800
Fax: (321) 241-6890
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 50618 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD453558 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301060896 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME161425 Florida

Profile Details

NPI number 1417905480
LBN Legal business name Khadr, Nagwa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Nov 8th, 2023 - about 2 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 1417905480 NPPES
Florida MEDICAID 118109400
Florida MEDICAID 4290947
Florida Other 350D410030
Florida MEDICAID 4956925

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