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:
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Health care specialties

SpecialtyCodeLicense #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 10 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 1588653257 NPPES
Florida MEDICAID 006506800

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