| Khaled Mohammed Al-farawi, MD | |
| 528 W Baldwin Rd, Panama City, FL 32405-3313 | |
| (850) 522-1522 | |
| (850) 522-5925 | 
| Full Name | Khaled Mohammed Al-farawi | 
|---|---|
| Gender | Male | 
| Speciality | Pediatrics | 
| Location | 528 W Baldwin Rd, Panama City, Florida | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1669887139 | NPI | - | NPPES | 
| 020590600 | Medicaid | FL | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207P00000X | Emergency Medicine | U5058 (Texas) | Secondary | 
| 208000000X | Pediatrics | ME131759 (Florida) | Primary | 
| Entity Name | Northwest Florida Healthcare, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1336163708 PECOS PAC ID: 2668363771 Enrollment ID: O20050627000512 | 
| Entity Name | Holmes County Hospital Corp | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1366431702 PECOS PAC ID: 3375557887 Enrollment ID: O20101122001377 | 
| Entity Name | Emergency Medicine Services Of Fl Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1043917180 PECOS PAC ID: 8426413931 Enrollment ID: O20230504001881 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Khaled Mohammed Al-farawi, MD Po Box 15775, Panama City, FL 32406-5775 Ph: (304) 521-5337 | Khaled Mohammed Al-farawi, MD 528 W Baldwin Rd, Panama City, FL 32405-3313 Ph: (850) 522-1522 | 
| Dr. Mohammed Yahia Abdul-rahim, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 W 19th St, Panama City, FL 32405 Phone: 850-872-0021 Fax: 850-872-0553 | |
| Rami Mutaz Tabbaa, DO, MS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 621 W Baldwin Rd, Panama City, FL 32405 Phone: 850-747-3661 Fax: 850-747-0194 | |
| Kelly Duane Carter, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-804-3870 | |
| Ingrid J Rachesky, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2550 Jenks Ave, Panama City, FL 32405 Phone: 850-769-1481 Fax: 850-763-2435 | |
| Dr. Ahmed Elsayed Rezk, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Forest Park Cir, Panama City, FL 32405 Phone: 850-257-5524 Fax: 850-257-5638 | |
| Ahmad Alkilani, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 200 Forest Park Cir, Panama City, FL 32405 Phone: 850-257-5524 Fax: 850-257-5638 | |
| Dr. Alicia Helena Rodriguez Garcia, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 619 N Cove Blvd, Panama City, FL 32401 Phone: 850-804-3870 Fax: 850-804-3871 |