Khairalla, Tareq Suleiman
Khairalla, Tareq Suleiman is an individual health care provider with primary practice located at 1717 N E St Ste 533 , Pensacola FL 32501-6365. He recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as his primary health care specialty. Khairalla, Tareq Suleiman can be contacted via phone (850) 908-1220.Contact Information
Primary practice address
1717 N E St Ste 533
Pensacola FL 32501-6365
Phone: (850) 908-1220
Fax: (850) 908-1229
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 4301079642 | Michigan |
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ME132825 | Florida |
Profile Details
| NPI number | 1225252083 |
|---|---|
| LBN Legal business name | Khairalla, Tareq Suleiman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2007 |
| Last updated | Mar 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225252083 | NPPES |
| Florida | MEDICAID | 022045700 |
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