Individual
DR. TAREQ SULEIMAN KHAIRALLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1717 N E ST STE 533, PENSACOLA, FL 32501-6365
(850) 908-1220
(850) 908-1229
Mailing address
PO BOX 17567, PENSACOLA, FL 32522-7567
(850) 908-1220
(850) 908-1229
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
4301079642
MI
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
ME132825
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022045700
—
FL
Enumeration date
04/12/2007
Last updated
03/17/2018
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