Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Khaled Ibrahim, MD

Individual provider General Practice Physician · NPI 1497108393

Dr. Khaled Ibrahim, MD is a General Practice in Palm Coast, Florida. Qualified in 1993, 33 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
33
Licensed in
FL, PR
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

264A Palm Coast Pkwy NE
Palm Coast, FL 32137-8217
Phone: (386) 446-5505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3691 Clyde Morris Blvd, Port Orange, FL 32129-2317 — (386) 368-8876

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1088 (FL)
General Practice Physician Taxonomy 208D00000X · Licence 19420 (PR)

Record details

NPI number1497108393
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 15, 2016
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address100 Arricola Ave, St Augustine, FL 32080-4515

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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