| Gohar S. Khan, M.d., P,a. | |
|
905 Beville Rd South Daytona FL 32119-1705 | |
| (386) 767-9000 | |
| (386) 767-3761 |
| Full Name | Gohar S. Khan, M.d., P,a. |
|---|---|
| Speciality | Family Medicine |
| Location | 905 Beville Rd, South Daytona, Florida |
| Authorized Official Name and Position | Dede Siebenaler (OFFICE MANAGER) |
| Authorized Official Contact | 3867679000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gohar S. Khan, M.d., P,a. 905 Beville Rd South Daytona FL 32119-1705 Ph: (386) 767-9000 | Gohar S. Khan, M.d., P,a. 905 Beville Rd South Daytona FL 32119-1705 Ph: (386) 767-9000 |
| NPI Number | 1083985873 |
|---|---|
| Provider Enumeration Date | 01/25/2012 |
| Last Update Date | 01/25/2012 |
| Medicare PECOS PAC ID | 5597650465 |
|---|---|
| Medicare Enrollment ID | O20040219000079 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083985873 | NPI | - | NPPES |
| 254205600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | ME0029698 (Florida) | Primary |
| Provider Name | Gohar Shamshad Khan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568467256 PECOS PAC ID: 6305731282 Enrollment ID: I20120210000274 |
Accdient & Injury Center Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 807 Beville Rd, South Daytona, FL 32119 Phone: 386-668-9622 | |
Volusia Medical Center Daytona Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-424-1584 Fax: 386-410-4800 | |
Northeast Florida Health Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Beville Rd Ste 101&102, South Daytona, FL 32119 Phone: 386-267-6214 Fax: 386-999-0414 | |
Ano & Ano Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2089 S Ridgewood Ave, South Daytona, FL 32119 Phone: 386-761-5682 Fax: 386-760-4142 | |
After Hours Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 909 Big Tree Rd, South Daytona, FL 32119 Phone: 386-506-8910 | |
Rizalina Leuterio Md P A Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 711 Beville Rd, South Daytona, FL 32119 Phone: 386-760-8116 Fax: 386-760-0532 |