Abdul Khalil Wallizada,md
NPI 1053360669 · Pediatric Adolescent Medicine Physician · Orange Park, FL
Abdul Khalil Wallizada,md is a Pediatric Adolescent Medicine Physician organization in Orange Park, FL (NPI 1053360669).
Provider details
- NPI number
- 1053360669
- Entity type
- Organization
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Abdul Wallizada, Owner(904) 276-0005
- License
- ME0067026 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pediatrics and Adolescent Medicine
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2008-07-07
Frequently asked questions
- What is Abdul Khalil Wallizada,md's NPI number?
- Abdul Khalil Wallizada,md's National Provider Identifier (NPI) is 1053360669, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Abdul Khalil Wallizada,md?
- Abdul Khalil Wallizada,md is classified in the NPPES registry as Pediatric Adolescent Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Abdul Khalil Wallizada,md located?
- Abdul Khalil Wallizada,md's practice location on file with NPPES is 2140 Kingsley Ave, Orange Park, FL 32073-5180.
- What is Abdul Khalil Wallizada,md's phone number?
- The practice phone number listed in the NPPES registry for Abdul Khalil Wallizada,md is (904) 276-0005.
- Who is the authorized official for Abdul Khalil Wallizada,md?
- The authorized official listed on Abdul Khalil Wallizada,md's NPPES record is Abdul Wallizada, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Abdul Khalil Wallizada,md's NPI active?
- Yes — Abdul Khalil Wallizada,md's NPI (1053360669) is active in the NPPES registry as of the last update on 2008-07-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.