Provider Demographics
NPI:1043096712
Name:PALM BEACH INTEGRATIVE RHEUMATOLOGY INC
Entity Type:Organization
Organization Name:PALM BEACH INTEGRATIVE RHEUMATOLOGY INC
Other - Org Name:PALM BEACH RHEUMATOLOGY & WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:M
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-658-1323
Mailing Address - Street 1:601 UNIVERSITY BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-2788
Mailing Address - Country:US
Mailing Address - Phone:561-658-1323
Mailing Address - Fax:561-775-4990
Practice Address - Street 1:601 UNIVERSITY BLVD STE 202A
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-2788
Practice Address - Country:US
Practice Address - Phone:561-658-1323
Practice Address - Fax:561-775-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-07
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatologyGroup - Single Specialty