Provider Demographics
NPI:1053815464
Name:DUHOKI, DEREEN (MD)
Entity Type:Individual
Prefix:
First Name:DEREEN
Middle Name:
Last Name:DUHOKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DEREEN
Other - Middle Name:
Other - Last Name:MOHAMMED SAEED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4200 W LAKE AVE APT A108
Mailing Address - Street 2:
Mailing Address - City:GLENVIEW
Mailing Address - State:IL
Mailing Address - Zip Code:60026-7402
Mailing Address - Country:US
Mailing Address - Phone:224-432-9941
Mailing Address - Fax:
Practice Address - Street 1:12902 USF MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33612-9416
Practice Address - Country:US
Practice Address - Phone:224-432-9941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-20
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
FLME153047207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program