Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Tareq Al-Khatib, MD

Individual provider Surgery Physician · NPI 1972790020

Mr. Tareq Al-Khatib, MD is a Surgery Physician in Port Charlotte, Florida. Licensed in Florida and Illinois. Registered with an NPI since 2007.

Licensed in
FL, IL
In the registry since
2007
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

2852 Tamiami Trl Ste 5
Port Charlotte, FL 33952-5125
Phone: (941) 625-4442
Fax: (941) 625-9797
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence ME0054121 (FL)
Surgery Physician Taxonomy 208600000X · Licence 036-054967 (IL)

Record details

NPI number1972790020
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 2, 2007
Last updated in NPPESNovember 15, 2018

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