Abdul Khalil Wallizada,md
Pediatric Adolescent Medicine
Abdul Khalil Wallizada,md is a Orange Park, Florida based Pediatric center with medical specialization in
Pediatric Adolescent Medicine. Abdul Khalil Wallizada,md is doing business as
Pediatrics And Adolescent Medicine.
It is located at
2140 Kingsley Ave, Ste.#10, Orange Park, Florida - 32073-5180. They can be contacted on phone at
904-276-0005 and fax number 904-276-9202.
NPI number (Unique professional ID) for Abdul Khalil Wallizada,md is
1053360669 which was assigned by NPPES on 09 May, 2006 and it was last updated on 07 Jul, 2008.
Abdul Khalil Wallizada,md license number is
ME0067026 for Pediatrics Adolescent Medicine (2080A0000X) in Florida.
Abdul Khalil Wallizada,md specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Abdul Khalil Wallizada,md basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Abdul Khalil Wallizada,md |
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| Other Name : | Pediatrics And Adolescent Medicine |
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Business Address:
Abdul Khalil Wallizada,md address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 2140 Kingsley Ave, Ste.#10
Orange Park, FL, 32073-5180
United States |
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| Phone Number : | 904-276-0005 |
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| Fax Number : | 904-276-9202 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1053360669 |
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| NPI Entity Type : | Organization |
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| First Enrolment Date : | 09 May, 2006 |
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| Last Updated On : | 07 Jul, 2008 |
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Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Abdulkhalil Wallizada |
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| Authorized Official Credential : | MD |
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| Official Title or Position : | OWNER |
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| Phone Number : | 904-276-0005 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Abdul Khalil Wallizada,md are as mentioned. Primary taxonomy code for Abdul Khalil Wallizada,md is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080A0000X | Pediatrics Adolescent Medicine | Yes | ME0067026 | FL |
Legacy Identifiers:
Other legacy medical identifiers of Abdul Khalil Wallizada,md such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 376381100 | MEDICAID | FL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 2140 Kingsley Ave, Ste.#10
Orange Park, FL, 32073-5180
United States |
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| Phone Number : | 904-276-0005 |
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| Fax Number : | 904-276-9202 |
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Business Location:
Patients can refer following map for directions to
Abdul Khalil Wallizada,md practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.