Khalil Wardak

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

MD103643 Issued in FL

Practice address

5301 SW 31St Ave
Fort Lauderdale, FL 33312-6906

Phone

(954) 357-5214

Fax

(954) 327-6580

NPI assigned

Nov 6, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1922437391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 HONEYSUCKLE LN",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333272418",
            "telephone_number": "954-357-5214",
            "fax_number": "954-327-6580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 SW 31ST AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126906",
            "telephone_number": "954-357-5214",
            "fax_number": "954-327-6580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDAK",
        "first_name": "KHALIL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "FL",
            "license": "MD103643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra War
• Warby Parker Inc.
• Chanovia Quinnette Ward
• Kyle Ward
• Tracy Anne Ward, OWNER OPTICAL SHOP
• Tarra Ann Wardrup, DPT, CSCS
• Emily Wareham, MFT
• Sheldon Todd Warman, M.D.
• Shelley Warner
• Aseel Warrayat, PHARMD

• Anatomic Pathology Physician in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Anatomic Pathology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.