Active NPI
Khlaed Diab MD, PA
- Family Medicine Physician
- Plantation, FL
National Provider Identifier
1144760059
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- ME125048
- Legal business name
- KHLAED DIAB MD, PA
- Practice address
- 828 Fairway Dr
Plantation, FL 33317-4438 - Phone
- (954) 947-1788
- NPI assigned
- Feb 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Khaled Diab, M.D.
- Title
- Provide/Owner
- Phone
- (954) 947-1788
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | ME125048 | FL | Primary |
Addresses
Primary practice location
828 Fairway Dr
Plantation, FL 33317-4438
Mailing address
828 Fairway Dr
Plantation, FL 33317-4438
Phone (954) 947-1788
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Plantation, FL
- NPI 1750729679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1144760059",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "828 FAIRWAY DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174438",
"telephone_number": "954-947-1788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "828 FAIRWAY DR",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333174438",
"telephone_number": "954-947-1788"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KHLAED DIAB MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-27",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "DIAB",
"authorized_official_first_name": "KHALED",
"authorized_official_title_or_position": "PROVIDE/OWNER",
"authorized_official_telephone_number": "954-947-1788",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "FL",
"license": "ME125048",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.