Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD19689 | ME |
N | 111NI0900X | Internist | MD19689 | ME |
N | 207RG0300X | Geriatric Medicine | ME141563 | FL |
Y | 207RH0002X | Hospice and Palliative Medicine | ME141563 | FL |
NPI | 1063686285 |
---|---|
Provider Name | Sufana Al Khunaizi |
First Address | West Palm Beach, FL 33417-2262 |
Second Address | West Palm Beach, FL 33417-2262 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/04/2008 |
Last Update Date | 30/03/2021 |