Individual
DR. KHADIDJA KORAIBAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
951 N WASHINGTON AVE, PARRISH MEDICAL GROUP. HOSPITALIST DEPT, TITUSVILLE, FL 32796-2163
(321) 268-6111
(321) 268-6360
Mailing address
805 CENTURY MEDICAL DR, SUITE C, TITUSVILLE, FL 32796-2100
(321) 268-6264
(321) 268-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME111327
FL
208M00000X
Hospitalist Physician
Primary
ME111327
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004451000
—
FL
Enumeration date
08/30/2006
Last updated
06/09/2015
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