Individual
DR. RAIHAAN R KHATTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1182 CYPRESS GLEN CIR, KISSIMMEE, FL 34741-7560
(352) 390-0528
Mailing address
3471 DOVETAIL AVE, KISSIMMEE, FL 34741-2938
(352) 390-0528
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
71371
WI
207RI0200X
Infectious Disease Physician
Primary
ME138276
FL
208M00000X
Hospitalist Physician
71371
WI
Other
Enumeration date
04/11/2016
Last updated
08/14/2023
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