TAHER KHALIL M D P A NPI 1902829393

NPI Information

NPI: 1902829393
Provider Name: TAHER KHALIL M D P A
Classification: Internal Medicine - 207RI0011X
Specialization: Interventional Cardiology
Entity Type: Organization
Doing Business As: CARDIOVASCULAR CENTER
Address: 1425 HAND AVE
SUITE K
ORMOND BEACH, FL
ZIP 32174
Phone: (386) 673-5404

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NPI Details

TAHER KHALIL M D P A is an interventional cardiology internal medicine in Ormond Beach, FL. The provider is an area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. TAHER KHALIL M D P A NPI is 1902829393. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cardiovascular Center.

The provider's business location address is:

1425 HAND AVE
SUITE K
ORMOND BEACH, FL
ZIP 32174-135
Phone: (386) 673-5404
Fax: (386) 673-5480

The provider's authorized official is Diana Borts .
The authorized official title is Office Manager and has the following contact phone number (386) 673-5441.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 10/29/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	ME81508	FLORIDA	No
2	207RI0011X	Internal Medicine	Interventional Cardiology	ME81508	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	264363400	MEDICAID	FLORIDA
2	78667	OTHER	FLORIDA	BC/BS OF FLORIDA

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: 11/21/2025

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