Organization Active NPI

Khlaed Diab MD, PA

  • Family Medicine Physician
  • Plantation, FL
National Provider Identifier
1144760059
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME125048 Issued in FL
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

Updated by the provider on Feb 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Khaled Diab, M.D.NPI 1750729679
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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.