Individual
DR. REZA KHATIB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4661 - SW THISTLE TERRACE, PALM CITY, FL 34990
(772) 287-9117
Mailing address
4661 - SW THISTLE TERRACE, PALM CITY, FL 34990
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
098762
NY
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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