Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | 52499 | TN |
Y | 207RH0003X | Hematology & Oncology | ME104304 | FL |
N | 207RX0202X | Medical Oncology | 52499 | TN |
NPI | 1023194982 |
---|---|
Provider Name | Yasser Khaled |
First Address | Orlando, FL 32806-2134 |
Second Address | Orlando, FL 32806-2134 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/10/2006 |
Last Update Date | 10/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
09054767 | (05) | MS |
109691600 | (05) | FL |
209211001 | (05) | AR |
5439409 | BCBS (01) | TN |
Q012669 | (05) | TN |