Individual
TAREQ KHADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11190 HEALTH PARK BLVD, NAPLES, FL 34110-5729
(239) 330-2933
Mailing address
11190 HEALTH PARK BLVD, NAPLES, FL 34110-5729
(239) 330-2933
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.020825
OH
207R00000X
Internal Medicine Physician
ME123496
FL
208M00000X
Hospitalist Physician
Primary
ME123496
FL
390200000X
Student in an Organized Health Care Education/Training Program
57.020825
OH
Other
Enumeration date
07/18/2012
Last updated
09/22/2017
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