Koraibaa, Khadidja

Koraibaa, Khadidja is an individual health care provider with primary practice located at 951 N Washington Ave Parrish Medical Group. Hospitalist Dept, Titusville FL 32796-2163. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Koraibaa, Khadidja can be contacted via phone (321) 268-6111.

Contact Information

Primary practice address
951 N Washington Ave Parrish Medical Group. Hospitalist Dept Titusville FL 32796-2163
Phone: (321) 268-6111
Fax: (321) 268-6360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X ME111327 Florida
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME111327 Florida

Profile Details

NPI number 1356451041
LBN Legal business name Koraibaa, Khadidja
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jun 9th, 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 1356451041 NPPES
Florida MEDICAID 004451000

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