Wallizada, Khalil Abdul

Wallizada, Khalil Abdul is an sole proprietor health care provider with primary practice located at 2140 Kingsley Ave Ste 10 , Orange Park FL 32073-5129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Wallizada, Khalil Abdul can be contacted via phone (904) 276-0005.

Contact Information

Primary practice address
2140 Kingsley Ave Ste 10 Orange Park FL 32073-5129
Fax: (904) 276-9202
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME0067026 Florida

Profile Details

NPI number 1588826838
LBN Legal business name Wallizada, Khalil Abdul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2008
Last updated Jun 27th, 2008 - about 17 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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