Fardowsa O Khalif, CNP is a
Internal Medicine - Hospice And Palliative Medicine based in Atlanta, Georgia. Fardowsa O Khalif is licensed to practice in Georgia (license number RN316591) and her current practice location is
550 Peachtree St Ne, Atlanta, Georgia. She can be reached at her office (for appointments etc.) via phone at
(614) 226-9954.
NPI number for Fardowsa O Khalif is 1023648318 and her current mailing address is 1130 N Jamestown Rd Apt 506, Decatur, Georgia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023648318.
Provider's Profile
| Full Name | Fardowsa O Khalif |
|---|
| Gender | Female |
|---|
| Speciality | Internal Medicine - Hospice And Palliative Medicine |
|---|
| Location | 550 Peachtree St Ne, Atlanta, Georgia |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1023648318
- Provider Enumeration Date: 01/25/2020
- Last Update Date: 03/13/2023
Medical Identifiers
Medical identifiers for Fardowsa O Khalif such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023648318 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LA2100X | Nurse Practitioner - Acute Care | APRN.CNP.025806 (Ohio) | Secondary |
| 207RH0002X | Internal Medicine - Hospice And Palliative Medicine | RN316591 (Georgia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fardowsa O Khalif is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Fardowsa O Khalif, CNP
1130 N Jamestown Rd Apt 506,
Decatur, GA 30033-7121
Ph: (614) 226-9954 | Fardowsa O Khalif, CNP
550 Peachtree St Ne,
Atlanta, GA 30308-2212
Ph: (614) 226-9954 |
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