Individual
NAEEM KHALID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
801 E DIXIE AVE STE 104, LEESBURG, FL 34748-7601
(352) 787-5858
Mailing address
734 N 3RD ST STE 115, LEESBURG, FL 34748-5287
(352) 365-2583
(352) 728-6749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
3500
TN
2085R0202X
Diagnostic Radiology Physician
Primary
OS16636
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
107967800
—
FL
Enumeration date
04/27/2015
Last updated
07/16/2021
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