Khaled, Yasser

Khaled, Yasser is an individual health care provider with primary practice located at 1400 S Orange Ave , Orlando FL 32806-2134. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khaled, Yasser can be contacted via phone (407) 648-3800.

Contact Information

Primary practice address
1400 S Orange Ave Orlando FL 32806-2134
Phone: (407) 648-3800
Fax: (407) 425-5203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME104304 Florida

Profile Details

NPI number 1023194982
LBN Legal business name Khaled, Yasser
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2006
Last updated Apr 19th, 2023 - about last year

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 1023194982 NPPES
Tennessee MEDICAID Q012669
Tennessee MEDICAID 109691600
Tennessee MEDICAID 09054767
Tennessee Other 5439409
Tennessee MEDICAID 209211001

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