Provider Demographics
NPI:1205681475
Name:ABUBAKER, KHALED YOUSEF MOHAMMAD (MD)
Entity type:Individual
Prefix:
First Name:KHALED
Middle Name:YOUSEF MOHAMMAD
Last Name:ABUBAKER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7485 SW 17TH ROAD (NORTH FLORIDA INTERNAL MEDICINE (TOW
Mailing Address - Street 2:
Mailing Address - City:GAINSVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607
Mailing Address - Country:US
Mailing Address - Phone:352-333-5700
Mailing Address - Fax:352-376-4975
Practice Address - Street 1:8015 NW 39TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32606
Practice Address - Country:US
Practice Address - Phone:352-246-0842
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-22
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program