DR. TAREQ SULEIMAN KHAIRALLA (NPI# 1225252083) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225252083 |
| Entity Type | Individual |
| Full Name | DR. TAREQ SULEIMAN KHAIRALLA |
| Credential | M.D. |
| Practice Address |
1717 N E St Ste 533 Pensacola FL 32501-6365 |
| Mailing Address |
Po Box 17567 Pensacola FL 32522-7567 |
| Practice Telephone | 8509081220 |
| Practice Fax Number | 8509081229 |
| Mailing Telephone | 8509081220 |
| Mailing Fax Number | 8509081229 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
ME132825 | FL | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
4301079642 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 022045700 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 705 N Sioux Point Rd, Suite 100, Dakota Dunes, SD 570495091 | 6052175500 | 6052175515 |
| Street Address |
1717 N E ST STE 533 |
| City | PENSACOLA |
| State | FL |
| Zip Code | 32501-6365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003971839 | Michael A. Hennigan | Internal Medicine | 1717 N E St Ste 533, Pensacola, FL 32501-6365 | 2006-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669084976 | Steven Bollen | Pharmacist | 870 E Cervantes, Pensacola, FL 32501 | 2020-08-18 |
| 1013558733 | Erica Watts | Social Worker | 901 North I Street, Pensacola, FL 32501 | 2019-10-03 |
| 1972164598 | Yabin Chen | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2019-06-25 |
| 1336700038 | Michael Enriquez | Student in an Organized Health Care Education/Training Program | Fairfield Pediatrics- Community Health Nw Fl, 1295 W Fairfield Drive, Pensacola, FL 32501 | 2019-06-24 |
| 1336631803 | Ana Andreea Curta | Student in an Organized Health Care Education/Training Program | Community Health Northwest Florida, 1295 W. Fairfield Drive, Pensacola, FL 32501 | 2018-05-31 |
| 1700374618 | Telecia Walker | Massage Therapist | 1720 W. Fairfield Dr., Ste 309, Pensacola, FL 32501 | 2018-04-26 |
| 1578085254 | Mary Holland Hegarty | Physical Therapist | 1000 W, Moreno St, Pensacola, FL 32501 | 2017-07-13 |
| 1184162455 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1525 E Nine Mile Road, Pensacola, FL 32501 | 2017-02-07 |
| 1215271564 | Pathways for Change, Inc | Social Worker | 2050 West Blount Street, Pensacola, FL 32501 | 2012-11-26 |
| 1962697342 | Martha M Green | Family Medicine | 1717 N E St Ste 222a, Pensacola, FL 32501 | 2007-09-10 |
| Find all providers in zip 32501 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003971839 | Michael A. Hennigan | Internal Medicine | 1717 N E St Ste 533, Pensacola, FL 32501-6365 | 2006-12-22 |
| 1821099516 | Randall Paul Riche | Internal Medicine | 4700 Bayou Blvd Ste 1b, Pensacola, FL 32503-2670 | 2005-08-03 |
| 1598710428 | Ziad M Mamish | Internal Medicine | 5149 N 9th Ave, G32, Pensacola, FL 32504-8756 | 2006-05-22 |
| 1447202874 | Vishnu N. Behari | Internal Medicine | 6160 N Davis Hwy, Suite 10a, Pensacola, FL 32504-6994 | 2006-05-16 |
| 1447221262 | Ann Karen Yoshihashi | Internal Medicine | 220 Hovey Rd, Pensacola, FL 32508-1044 | 2006-01-30 |
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|---|---|---|---|---|
| 1922612886 | The Sugar Doctors LLC | Internal Medicine | 423 Highway 466 Apt 8206, Lady Lake, FL 32159-6307 | 2020-09-08 |
| 1144848292 | Olga Kaliebe Md LLC | Internal Medicine | 2823 W Fountain Blvd, Tampa, FL 33609-4011 | 2020-07-06 |
| 1063037810 | Endo Now LLC | Internal Medicine | 5460 Village Drive,viera, Rockledge, FL 32955 | 2020-06-08 |
| 1346873015 | Chrysalis Health of Florida P.a. | Internal Medicine | 382 Ne 191st St # 52404, Miami, FL 33179-3899 | 2020-02-20 |
| 1598300741 | Center for Integrative & Functional Endocrinology LLC | Internal Medicine | 17900 Nw 5th St Ste 202, Pembroke Pines, FL 33029-2809 | 2019-11-12 |
| 1346801834 | Medical Centers of Miami LLC | Internal Medicine | 6600 Cow Pen Rd Ste 100, Miami Lakes, FL 33014-7618 | 2019-06-25 |
| 1013402783 | Thyroid Diabetes Endocrinology and Wellness Inc | Internal Medicine | 8075 Gate Pkwy W Ste 306, Jacksonville, FL 32216-3685 | 2018-06-26 |
| 1447750773 | Smh Physician Services Inc | Internal Medicine | 1370 E Venice Ave Ste 209, Venice, FL 34285-9084 | 2018-02-13 |
| 1376087593 | Dar Endocrinology Services LLC | Internal Medicine | 100 Buenaventura Blvd Ste 102, Kissimmee, FL 34743-4513 | 2016-12-07 |
| 1073064127 | Tampa General Medical Group Inc | Internal Medicine | 10740 Palm River Road, Ste 360, Tampa, FL 33619 | 2016-10-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.