KHALISA ISRAT JAHAN SYEDA (NPI# 1326474438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326474438 |
| Entity Type | Individual |
| Full Name | KHALISA ISRAT JAHAN SYEDA |
| Credential | D.O. |
| Practice Address |
540 Westgate Pkwy Dothan AL 36303 |
| Mailing Address |
540 Westgate Pkwy Dothan AL 36303-3073 |
| Practice Telephone | 2059343460 |
| Mailing Telephone | 2059343460 |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2019-08-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0202X |
Pediatrics Specialization: Pediatric Cardiology |
DO.2052 | AL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6410 Fannin Street, Suite 500, Houston, TX 770305389 | 8323256516 | 7135122222 |
| Street Address |
540 WESTGATE PKWY |
| City | DOTHAN |
| State | AL |
| Zip Code | 36303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811288327 | Andrew Smith Hayes | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2011-05-02 |
| 1760012918 | Katelyn J Williams | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2020-01-16 |
| 1932673241 | Chelsea Leigh Webb | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2019-01-20 |
| 1518431824 | Veronica Faye Harper | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2019-01-20 |
| 1124590377 | Jordan W Miller | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2018-12-28 |
| 1568966307 | Sara B Strength | Social Worker | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2018-03-19 |
| 1326444233 | Lori L. Chancy Counseling Services | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2014-11-05 |
| 1649675380 | Hayes Counseling Services, LLC | Counselor | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2014-10-23 |
| 1104260785 | Charles R Mcarthur | Psychologist | 540 Westgate Pkwy, Dothan, AL 36303-3073 | 2013-04-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194205740 | Emblom & Vaughn, D.m.d., PC | Dentist | 318 Healthwest Dr., Dothan, AL 36303 | 2018-08-14 |
| 1164887907 | Bio-medical Applications of Alabama, Inc. | Clinic/Center | 118 Obrannan Park Drive, Dothan, AL 36303 | 2015-12-21 |
| 1245634245 | Api Counseling, LLC | Community/Behavioral Health | 1583 Montgomery Highway, Dothan, AL 36303 | 2014-10-20 |
| 1467792382 | Bolanle Boladale Akinduro | Home Health | 107 Hidden Glen Way, Dothan, AL 36303 | 2013-03-01 |
| 1104162114 | Al Dental PC | Dentist | 3400 Montgomery Highway, Dothan, AL 36303 | 2012-12-19 |
| 1659661874 | Juanita Titrud Heersink | Internal Medicine | 210 Westside Drive, Dothan, AL 36303 | 2011-04-08 |
| 1790918548 | Brandi Bradshaw Reeves | Counselor | 100 Westside Dr., Dothan, AK 36303 | 2009-08-27 |
| 1396917589 | Brian Davis | Physical Therapist | 3763 Ross Clark Circle, Dothan, AL 36303 | 2008-03-27 |
| 1558544544 | Healthwest Dental Associates PC | Dentist | 502 Healthwest Drive, Dothan, AL 36303 | 2007-12-12 |
| 1770644775 | Christine Carroll Fain | Occupational Therapist | 3763 Ross Clark Cir Ste 1, Alacare Home Health, Dothan, AL 36303 | 2006-12-13 |
| Find all providers in zip 36303 | ||||
| Taxonomy Code | 2080P0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Cardiology |
| A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528078219 | Uahsf Pediatric Cardiology | Pediatrics | 320 Nhb, 620 So 20th Street, Birmingham, AL 35249-0001 | 2006-08-08 |
| 1639106503 | Paul G Israel | Pediatrics | 303 Williams Ave, Ste 1121, Huntsville, AL 35801-4249 | 2006-06-27 |
| 1891766762 | Pediatric Specialists of Montgomery, L.L.C. | Pediatrics | 239 Mitylene Park Dr, Montgomery, AL 36117-3547 | 2006-01-30 |
| 1932767365 | Usa Health Physician Billing Services LLC | Pediatrics | 1601 Center St, Mobile, AL 36604-1541 | 2019-05-31 |
| 1134580608 | University of South Alabama | Pediatrics | 1601 Center St Ste 1s, Mobile, AL 36604-1541 | 2016-03-11 |
| 1821433574 | Jacqueline Leslie Gaddis Collins | Pediatrics | 1700 6th Ave S, Birmingham, AL 35233 | 2013-05-08 |
| 1548583883 | Waldemar F Carlo Jr. | Pediatrics | 1700 6th Ave S, Suite 9100, Birmingham, AL 35233-1802 | 2010-03-01 |
| 1780858225 | Mark A Law | Pediatrics | 1700 6th Ave S, Suite 9100, Birmingham, AL 35233-1802 | 2008-04-16 |
| 1689847931 | Matthew David Israel | Pediatrics | 303 Williams Ave Sw, Suite 1121, Huntsville, AL 35801-6012 | 2008-04-08 |
| 1629264734 | Pediatric Cardiology Asso. P.C. | Pediatrics | 303 Williams Ave Sw, Suite 1121, Huntsville, AL 35801-6012 | 2007-09-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.