Individual
TAHER KHALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D P A
Contact information
Practice address
1425 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-1135
(386) 673-5404
(386) 673-5480
Mailing address
1425 HAND AVE, SUITE K, ORMOND BEACH, FL 32174-5063
(386) 673-5404
(386) 673-5480
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME81508
FL
207RI0011X
Interventional Cardiology Physician
ME81508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
264363400
—
FL
01
—
3165111
CIGNA
FL
01
—
78667
BLUECROSS OF FLORIDA
FL
01
—
7902546
AETNA
FL
Enumeration date
07/27/2006
Last updated
10/29/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us