Khazrik, Hakam
Khazrik, Hakam is an individual health care provider with primary practice located at 4100 Waterman Way , Tavares FL 32778-5270. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khazrik, Hakam can be contacted via phone (352) 343-1117.Contact Information
Primary practice address
4100 Waterman Way
Tavares FL 32778-5270
Phone: (352) 343-1117
Fax: (866) 445-2968
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Medical Oncology | 207RX0202X | ME157856 | Florida |
Profile Details
| NPI number | 1154617496 |
|---|---|
| LBN Legal business name | Khazrik, Hakam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 24th, 2011 |
| Last updated | Aug 9th, 2022 - about 2 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 | 1154617496 | NPPES |
| Florida | MEDICAID | 114745800 |
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