| Misal Khan,m.d. Frcs(ed) P.a. | |
|
3808 E 3rd St Panama City FL 32401-5671 | |
| (850) 785-9511 | |
| (850) 763-9494 |
| Full Name | Misal Khan,m.d. Frcs(ed) P.a. |
|---|---|
| Speciality | General Practice |
| Location | 3808 E 3rd St, Panama City, Florida |
| Authorized Official Name and Position | Misal Khan (PRESIDENT) |
| Authorized Official Contact | 8507859511 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Misal Khan,m.d. Frcs(ed) P.a. 3808 E 3rd St Panama City FL 32401-5671 Ph: (850) 785-9511 | Misal Khan,m.d. Frcs(ed) P.a. 3808 E 3rd St Panama City FL 32401-5671 Ph: (850) 785-9511 |
| NPI Number | 1740434521 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 11/06/2008 |
| Medicare PECOS PAC ID | 5991937377 |
|---|---|
| Medicare Enrollment ID | O20140417001406 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740434521 | NPI | - | NPPES |
| 037476800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | ME032811 (Florida) | Primary |
| Provider Name | Misai Khan |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1265405286 PECOS PAC ID: 0244462620 Enrollment ID: I20140417001478 |
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