Organization
NASIR KHALIDI & SAKINA KHALIDI, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAKINA N KHALIDI M.D. (OWNER)
(941) 629-3113
Entity
Organization
Contact information
Practice address
2400 HARBOR BLVD, SUITE 17, PORT CHARLOTTE, FL 33952-5052
(941) 629-3113
(941) 629-9764
Mailing address
PO BOX 496420, PORT CHARLOTTE, FL 33949-6420
(941) 629-3113
(941) 629-9764
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
ME32809
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93657A
MEDICARE PTAN NUMBER
FL
Enumeration date
03/06/2008
Last updated
03/06/2008
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