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Individual

DR. BIBI NAZEEMA KHAN-ASSAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1717 S. ORANGE AVE., SUITE 100, NEMOURS CHILDRENS CLINIC, ORLANDO, ORLANDO, FL 32806-2946
(407) 650-7715
(407) 650-7124
Mailing address
P.O. BOX 191, PROVIDER ENROLLMENT DEPARTMENT, ROCKLAND, DE 19732-0191
(302) 651-5985
(302) 651-4945

Taxonomy

Speciality
Code
Description
License number
State
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
Primary
ME82955
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06082
BLUE SHIELD
FL
05
262961500
FL
Enumeration date
06/26/2006
Last updated
08/29/2012
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