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Individual

DR. KHALED FOUAD BASIOUNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(727) 893-6254
(727) 553-7158
Mailing address
603 7TH ST S STE 500, ST PETERSBURG, FL 33701-4734
(278) 936-2547
(727) 553-7158

Taxonomy

Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
0101249902
VA
2086S0102X
Surgical Critical Care Physician
2009-00306
NC
2086S0127X
Trauma Surgery Physician
0101249902
VA
2086S0127X
Trauma Surgery Physician
2009-00306
NC
2086S0127X
Trauma Surgery Physician
MD 041906
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
019313700
FL
Enumeration date
06/16/2007
Last updated
10/30/2025
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