Individual
KHALED R MAGDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1893 KINGSLEY AVE STE C, ORANGE PARK, FL 32073-4421
(904) 276-2044
(904) 276-2106
Mailing address
1893 KINGSLEY AVE STE C, ORANGE PARK, FL 32073-4421
(904) 276-2044
(904) 276-2106
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35076302
OH
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME130058
FL
207RP1001X
Pulmonary Disease Physician
35076302
OH
207RP1001X
Pulmonary Disease Physician
Primary
ME130058
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000391000
ANTHEM BCBS
OH
05
—
2119728
—
OH
01
—
4800424
UNITED HEALTHCARE
OH
Enumeration date
08/22/2005
Last updated
01/23/2017
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