Khatib, Yazan
Khatib, Yazan is an individual health care provider with primary practice located at 7011 A C Skinner Pkwy Suite 160, Jacksonville FL 32256-6954. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Khatib, Yazan can be contacted via phone (904) 493-3333.Contact Information
Primary practice address
7011 A C Skinner Pkwy Suite 160
Jacksonville FL 32256-6954
Phone: (904) 493-3333
Fax: (904) 493-2222
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ME85393 | Florida |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | ME85393 | Florida |
Profile Details
| NPI number | 1588653257 |
|---|---|
| LBN Legal business name | Khatib, Yazan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Oct 1st, 2015 - about 9 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 | 1588653257 | NPPES |
| Florida | MEDICAID | 006506800 |
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