Individual
DR. SALEEM R. KHAMISANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1201 5TH AVENUE, STE 202, SAINT PETERSBURG, FL 33705-1410
(727) 820-7701
(727) 820-7700
Mailing address
1201 5TH AVE N STE 202, ST PETERSBURG, FL 33705-1410
(727) 820-7701
(727) 820-7700
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME83502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
273445100
—
FL
01
—
P00759244
RAILROAD MEDICARE PROVIDER NUMBER
FL
Enumeration date
08/02/2006
Last updated
04/04/2022
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