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

Mariam E Khamis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1881394781

Mariam E Khamis is a Student in an Organized Health Care Education/Training Program in Hurlburt Field, Florida. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2023
Specialties on file
2

Practice location Address checks out

113 Lielmanis Ave
Hurlburt Field, FL 32544-5613
Phone: (765) 969-2537
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 12014190A (IN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1881394781
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 8, 2023
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024
Mailing address113 Lielmanis Ave, Hurlburt Field, FL 32544-5613

Other providers in Hurlburt Field