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Nidah Shabbir Khakoo

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as NIDAH KHAKOO.

Based on the most recent information from CMS, provider Nidah Shabbir Khakoo is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:57 PM.

Profile Details

Provider ID
1275037350
Provider Type
Individual
Full Name
Khakoo, Nidah Shabbir
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
3/22/2018
Last Updated
1/5/2022

Contact Information

Practice Location

1611 NW 12th Ave, Miami, FL 33136-1005

(305) 243-9741

Unlisted Fax

Mailing Location

154 Fieldstone Dr, Morganville, NJ 07751-2048

(732) 977-2194

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME149060 Florida

Nidah Shabbir Khakoo

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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