| Doctor Name: | DR. KHALED A OSMAN |
| NPI Number: | 1518131846 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.O |
| License Number: | 247810 |
| Business Practice Address: | 2752 Ocean Ave Brooklyn, NY - 112294706 |
| Business Phone Number: | 7187699000 |
| Business Fax Number: | 7187693002 |
| Mailing Address: | 37b Hickory Rd, PORT WASHINGTON |
| State: | NY |
| Postal Code: | 110501503 |
| Phone Number: | 5162635831 |
| Fax Number: | |
| NPI Enumeration Date: | 04/17/2008 |
| NPI Last Update Date: | 10/16/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 247810 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |