| Mohammed I Khan Dds Pc | |
|
3924 Town Ctr Blvd Orlando FL 32837-6103 | |
| (407) 240-1500 | |
| (407) 240-6922 |
| Full Name | Mohammed I Khan Dds Pc |
|---|---|
| Speciality | Dentist |
| Location | 3924 Town Ctr Blvd, Orlando, Florida |
| Authorized Official Name and Position | Mohammed Khan (DENTIST/OWNER) |
| Authorized Official Contact | 4072401500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mohammed I Khan Dds Pc 3924 Town Ctr Blvd Orlando FL 32837-6103 Ph: (407) 240-1500 | Mohammed I Khan Dds Pc 3924 Town Ctr Blvd Orlando FL 32837-6103 Ph: (407) 240-1500 |
| NPI Number | 1104520154 |
|---|---|
| Provider Enumeration Date | 03/27/2023 |
| Last Update Date | 03/27/2023 |
| Medicare PECOS PAC ID | 8022474105 |
|---|---|
| Medicare Enrollment ID | O20230516000304 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104520154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| Provider Name | Amber Khan |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1740269570 PECOS PAC ID: 0648578245 Enrollment ID: I20230516000351 |
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