Organization Active NPI

Nasir Khalidi & Sakina Khalidi, MD PA

  • Gynecology Physician
  • Port Charlotte, FL
National Provider Identifier
1568632453
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
ME32809 Issued in FL
Legal business name
NASIR KHALIDI & SAKINA KHALIDI, MD PA
Practice address
2400 Harbor Blvd
Suite 17
Port Charlotte, FL 33952-5052
Phone
(941) 629-3113
Fax
(941) 629-9764
NPI assigned
Mar 6, 2008
Last updated
Mar 6, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Sakina N Khalidi, M.D.NPI 1588611370
Title
Owner
Phone
(941) 629-3113

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
Gynecology Physician 207VG0400X ME32809 FL Primary

Addresses

Primary practice location

2400 Harbor Blvd
Suite 17
Port Charlotte, FL 33952-5052

Mailing address

PO Box 496420
Port Charlotte, FL 33949-6420
Phone (941) 629-3113

Other identifiers 1

IdentifierTypeStateIssuer
93657AOtherFLMEDICARE PTAN NUMBER

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D0294605Sakina Khalidi MD2400 Harbor Blvd Suite 17, Port Charlotte, FL 33952Certificate of waiverFeb 1, 2028

National Provider Directory

National Provider Directory

Locations

2400 Harbor Blvd
Ste 17
Pt Charlotte, FL 33952
Phone (941) 629-2111

2595 Harbor Blvd
Ste 206
Pt Charlotte, FL 33952
Phone (941) 629-2111

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1568632453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496420",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496420",
            "telephone_number": "941-629-3113",
            "fax_number": "941-629-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HARBOR BLVD",
            "address_2": "SUITE 17",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339525052",
            "telephone_number": "941-629-3113",
            "fax_number": "941-629-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NASIR KHALIDI & SAKINA KHALIDI, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "KHALIDI",
        "authorized_official_first_name": "SAKINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-629-3113",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "FL",
            "license": "ME32809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN NUMBER",
            "identifier": "93657A",
            "state": "FL"
        }
    ],
    "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 Mar 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.