Khurram Wadud is a Specialist in Jacksonville, Florida. Khurram Wadud practices all healthcare services and medical treatments related to Specialist. The NPI Number for Khurram Wadud is 1801877576. The last update date is 2015-05-13.
Khurram Wadud's current location address is 3550 University Blvd S, Jacksonville, Florida. You can contact this provider via phone number 9043842240 and fax number 9043846055. The mailing address for Khurram Wadud is 3550 University Blvd S, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Khurram Wadud |
|---|---|
| Address | 3550 University Blvd S, Jacksonville, Florida |
| Phone Number | 9043842240 |
| Fax Number | 9043846055 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1801877576 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2015-05-13 |
Provider Mailing Address Detail
| Address | 3550 University Blvd S |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322164246 |
| Phone Number | 9043842240 |
| Fax Number | 9043846055 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME97274 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 212900 | FL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Khurram Wadud by the Centers for Medicare & Medicaid Services?
The Khurram Wadud has been assigned the NPI (National Provider Identifier) 1801877576. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Khurram Wadud is physically located?
The Khurram Wadud is physically situated at the following address: 3550 University Blvd S, Jacksonville, FL, 322164246.
What is the Khurram Wadud's area of specialization and corresponding taxonomy classification?
The Khurram Wadud's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1801877576 to Khurram Wadud?
The Centers for Medicare & Medicaid Services originally issued the 1801877576 to Khurram Wadud on 2005-11-09.
As of what date were the details related to Khurram Wadud most recently updated or revised?
The information pertaining to Khurram Wadud, including its address, specialty, and other relevant details, was last updated or revised on 2015-05-13.