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DR. KHALED RASHAD PHARAON M.D. NPI 1902090061


NPI Information

NPI: 1902090061
Provider Name: DR. KHALED RASHAD PHARAON, M.D.
Classification: Surgery - 2086S0127X
Entity Type: Individual

Specialization: Trauma Surgery

PECOS Registration: Yes

Address:
505 NE 87TH AVE
SUITE 301
VANCOUVER, WA
ZIP 98664
Phone: (360) 514-1854
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DR. Khaled Rashad Pharaon, M.D. is a trauma surgery surgery in Vancouver, WA with 19 years of experience. The provider is trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. DR. Khaled Rashad Pharaon, M.D. NPI is 1902090061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: LOUISIANA STATE UNIVERSITY SCHOOL OF MEDICINE IN NEW ORLEANS
Graduation Year:2005

The provider's business location address is:

505 NE 87TH AVE
SUITE 301
VANCOUVER, WA
ZIP 98664-989
Phone: (360) 514-1854
Fax: (360) 514-6063

The NPI 1902090061 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/31/2007 and was last updated on 10/2/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0102XSurgerySurgical Critical CareMD60365023WASHINGTONNo
22086S0127XSurgeryTrauma SurgeryMD156740OREGONNo
32086S0102XSurgerySurgical Critical CareMD156740OREGONNo
42086S0127XSurgeryTrauma SurgeryMD60365023WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.