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
Fax: (866) 445-2968
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154617496 NPPES
Florida MEDICAID 114745800

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