| Osceola Infectious Disease Consultancy Services, Pllc | |
|
1182 Cypress Glen Cir Kissimmee FL 34741-7560 | |
| (407) 350-5917 | |
| Not Available |
| Full Name | Osceola Infectious Disease Consultancy Services, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1182 Cypress Glen Cir, Kissimmee, Florida |
| Authorized Official Name and Position | Raihaan Khattak (OWNER) |
| Authorized Official Contact | 3523900528 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Osceola Infectious Disease Consultancy Services, Pllc 3471 Dovetail Ave Kissimmee FL 34741-2938 Ph: (352) 369-0528 | Osceola Infectious Disease Consultancy Services, Pllc 1182 Cypress Glen Cir Kissimmee FL 34741-7560 Ph: (407) 350-5917 |
| NPI Number | 1528750965 |
|---|---|
| Provider Enumeration Date | 05/24/2023 |
| Last Update Date | 05/24/2023 |
| Medicare PECOS PAC ID | 6305207077 |
|---|---|
| Medicare Enrollment ID | O20230727001113 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528750965 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Raihaan R Khattak |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1881058451 PECOS PAC ID: 6103164793 Enrollment ID: I20190206000918 |
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