| Ashraf Khan Md Llc | |
|
3808 E 3rd St Panama City FL 32401-5671 | |
| (850) 319-0272 | |
| (850) 763-9494 |
| Full Name | Ashraf Khan Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3808 E 3rd St, Panama City, Florida |
| Authorized Official Name and Position | Ashraf Khan (OWNER) |
| Authorized Official Contact | 8502650902 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashraf Khan Md Llc 3808 E 3rd St Panama City FL 32401-5671 Ph: (850) 319-0272 | Ashraf Khan Md Llc 3808 E 3rd St Panama City FL 32401-5671 Ph: (850) 319-0272 |
| NPI Number | 1770995326 |
|---|---|
| Provider Enumeration Date | 05/29/2014 |
| Last Update Date | 07/23/2014 |
| Medicare PECOS PAC ID | 9931325701 |
|---|---|
| Medicare Enrollment ID | O20140731000760 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770995326 | NPI | - | NPPES |
| 009156300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME116833 (Florida) | Primary |
| Provider Name | Ashraf M Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417277013 PECOS PAC ID: 3375781602 Enrollment ID: I20130905000546 |
| Provider Name | Joelle D Vazquez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497532006 PECOS PAC ID: 5193172542 Enrollment ID: I20231107003267 |
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