Khadra M Osman M D P a
NPI #1467422097 in Fort Lauderdale, Florida
Provider Information
- NPI Number
- 1467422097
- Entity Type
- Organization
- Organization Name
- Khadra M Osman M D P a
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Jan 25, 2006
- Last Updated
- Aug 29, 2010
Practice Location
- Address
- 1625 SE 3RD AVE
- Address 2
- SUITE 400
- City
- Fort Lauderdale
- State
- Florida
- ZIP Code
- 33316-2521
- Phone
- (954) 832-0055
Authorized Official
- Name
- DR. KHADRA MOHAMOUD OSMAN, M.D.
- Title
- PRESIDENT
- Phone
- (954) 832-0055
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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