Individual
KHALED MAZEN EL KHATIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 355-1122
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1096
(305) 355-1122
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
94-11677
KS
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
TRN41634
FL
Other
Enumeration date
06/03/2024
Last updated
07/06/2025
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