ANTOINE KHOUDARI MD
NPI 1700637261
Student in an Organized Health Care Education/Training Program in Tampa, FL

Active since April 01, 2024PECOS Enrolled
3003 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607(813) 554-8126 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Antoine Khoudari Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANTOINE KHOUDARI MD (NPI 1700637261) is an individual student in an organized health care education/training program in Tampa, Florida and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700637261
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTOINE KHOUDARICredential: MD
Location Address3003 W DR MARTIN LUTHER KING JR BLVDTampa, FL 33607-6307
Mailing Address3003 W Dr Martin Luther King Jr BlvdTampa, FL 33607-6307 · (813) 554-8126
Sole ProprietorNo
Enumeration DateApril 1, 2024
Last NPPES UpdateApril 2, 2024
NPPES CertifiedApril 2, 2024
NPI 1700637261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3003 W DR MARTIN LUTHER KING JR BLVD, Tampa, FL 33607

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Antoine Khoudari Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Psychiatry & Neurology (Psychiatry)
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607
Student in an Organized Health Care Education/Training Program
3003 W DR MARTIN LUTHER KING JR BLVD
TAMPA, FL 33607

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Antoine Khoudari's NPI number?

The NPI number for Antoine Khoudari is 1700637261. It was assigned to this individual provider in the NPPES registry on April 1, 2024.

Where is Antoine Khoudari located?

Antoine Khoudari practices at 3003 W Dr Martin Luther King Jr Blvd, Tampa, FL 33607. The listed phone number is (813) 554-8126.

What is Antoine Khoudari's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antoine Khoudari enrolled in Medicare?

Yes. Antoine Khoudari is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antoine Khoudari was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.