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
Fax: (850) 908-1229
Website:

Health care specialties

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225252083 NPPES
Florida MEDICAID 022045700

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