Abdul Khalil Wallizada,Md in Orange Park - Adolescent Medicine
Abdul Khalil Wallizada,Md - NPI 1053360669
Abdul Khalil Wallizada,Md is a Adolescent Medicine in Orange Park, Florida. Abdul Khalil Wallizada,Md practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Abdul Khalil Wallizada,Md is 1053360669. The last update date is 2008-07-07.
Abdul Khalil Wallizada,Md's current location address is 2140 Kingsley Ave, Orange Park, Florida. You can contact this provider via phone number 9042760005 and fax number 9042769202. The mailing address for Abdul Khalil Wallizada,Md is 2140 Kingsley Ave, Orange Park, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Abdul Khalil Wallizada,Md |
|---|---|
| Address | 2140 Kingsley Ave, Orange Park, Florida |
| Phone Number | 9042760005 |
| Fax Number | 9042769202 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wallizada Khalil Abdul |
| Credentials | MD |
| Telephone Number | 9042760005 |
NPI Number Detail
| NPI Number | 1053360669 |
|---|---|
| Provider Enumeration Date | 2006-05-09 |
| Last Updated Date | 2008-07-07 |
Provider Mailing Address Detail
| Address | 2140 Kingsley Ave |
|---|---|
| City | Orange Park |
| State | Florida (FL) |
| Post Code | 320735180 |
| Phone Number | 9042760005 |
| Fax Number | 9042769202 |
Provider's Primary Taxonomy Detail
| Speciality | Adolescent Medicine |
|---|---|
| Taxonomy | 2080A0000X |
| Licence No | ME0067026 |
|
Definition: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 376381100 | FL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Abdul Khalil Wallizada,Md by the Centers for Medicare & Medicaid Services?
The Abdul Khalil Wallizada,Md has been issued the NPI (National Provider Identifier) 1053360669. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Abdul Khalil Wallizada,Md is geographically located?
The Abdul Khalil Wallizada,Md is physically situated at the following location: 2140 Kingsley Ave, Orange Park, FL, 320735180.
What is Abdul Khalil Wallizada,Md's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Abdul Khalil Wallizada,Md's specialized field of practice is Adolescent Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 2080A0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053360669 to Abdul Khalil Wallizada,Md?
The Centers for Medicare & Medicaid Services assigned the 1053360669 to Abdul Khalil Wallizada,Md on 2006-05-09.
As of what date was the information pertaining to Abdul Khalil Wallizada,Md, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Abdul Khalil Wallizada,Md, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-07-07.
NPI Number: 1982607784
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