Individual provider · NPI-1

Dr. Khaled Deeb, MD, PHD, MBA

Internal Medicine · Hollywood, FL

NPI number1073044186
StatusActive
Last updated in NPPESApr 2, 2023

Details

NPI
1073044186
Entity type
Individual (NPI-1)
Name
Dr. Khaled Deeb
Credential
MD, PHD, MBA
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 22, 2017
Certification date
Apr 2, 2023
Last updated
Apr 2, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal MedicineME141889FLYes
207R00000X Internal Medicine141889FL
208M00000X HospitalistME141889FL

Practice location

1010 Hollywood Blvd
Hollywood, FL 33019-1608

Phone 954-483-3381 · Fax 954-516-0720

Mailing address

6813 Finamore Cir
Lake Worth, FL 33467-8727

Phone 954-483-3381 · Fax 954-516-0720

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