Active NPI
Tareq Al-Khatib
- Surgery Physician
- Port Charlotte, FL
National Provider Identifier
1457434169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0054121
- Legal business name
- TAREQ AL-KHATIB
- Practice address
- 2852 Tamiami TR
Ste 5
Port Charlotte, FL 33952 - Phone
- (941) 625-4442
- Fax
- (941) 625-9797
- NPI assigned
- Oct 24, 2006
- 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
- Mr. Tareq Al-Khatib, MD
- Title
- MD
- Phone
- (941) 625-4442
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME0054121 | FL | Primary |
Addresses
Primary practice location
2852 Tamiami TR
Ste 5
Port Charlotte, FL 33952
Mailing address
2852 Tamiami TR
Ste 5
Port Charlotte, FL 33952
Phone (941) 625-4442
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.
-
- Surgery Physician
- Port Charlotte, FL
- NPI 1972790020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1190678400000",
"number": "1457434169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2852 TAMIAMI TR",
"address_2": "STE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33952",
"telephone_number": "941-625-4442",
"fax_number": "941-625-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2852 TAMIAMI TR",
"address_2": "STE 5",
"city": "PORT CHARLOTTE",
"state": "FL",
"postal_code": "33952",
"telephone_number": "941-625-4442",
"fax_number": "941-625-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAREQ AL-KHATIB",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-24",
"last_updated": "2007-09-25",
"status": "A",
"authorized_official_last_name": "AL-KHATIB",
"authorized_official_first_name": "TAREQ",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "941-625-4442",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "FL",
"license": "ME0054121",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Charlotte, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.