Organization Active NPI

Tareq Al-Khatib

  • Surgery Physician
  • Port Charlotte, FL
National Provider Identifier
1457434169
Registry record updated Sep 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0054121 Issued in FL
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

Updated by the provider on Sep 25, 2007

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

Authorized official

Name
Mr. Tareq Al-Khatib, MDNPI 1972790020
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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 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": "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.

Verify at the official NPI Registry.