Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0102X | Surgical Critical Care | ME98528 | FL |
NPI | 1245452606 |
---|---|
Provider Name | Steven A Khalil |
First Address | Rockledge, FL 32955-4306 |
Second Address | Melbourne, FL 32901 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/05/2007 |
Last Update Date | 14/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15036 | UNIVERSAL HEALTHCARE (01) | |
15351 | BCBS OF FLORIDA (01) | FL |
15633301 | CITRUS HEALTHCARE (01) | FL |
17 03735 | UHC (01) | FL |
308765 | AVMED (01) | FL |
326363 | AMERIGROUP (01) | FL |
409903 | WELLCARE (01) | FL |
7645894 | AETNA (01) | FL |
8556767 | CIGNA (01) | FL |
AF509 | MEDICARE (01) | FL |
ME98528 | LICENSE (01) | FL |
NPI | PHYSICAINS UNITED PLAN (01) | FL |