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Individual

DR. MASHAEL F. ALQAHTANI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
KY CHILDREN'S HOSPITAL 800 ROSE ST 4TH FL, LEXINGTON, KY 40536-7884
(859) 218-0921
(859) 257-1831
Mailing address
10140 CENTURION PARKWAY N., FL PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32256-0532
(904) 697-4100
(904) 697-5102

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME124582
FL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
59314
KY
2080P0203X
Pediatric Critical Care Medicine Physician
ME124582
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015221400
FL
Enumeration date
07/16/2008
Last updated
11/12/2024
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