Vajih M Khan Md Pa | |
585 Maitland Ave Altamonte Springs FL 32701-6322 | |
(407) 265-3801 | |
(407) 767-5983 |
Full Name | Vajih M Khan Md Pa |
---|---|
Speciality | Internal Medicine |
Location | 585 Maitland Ave, Altamonte Springs, Florida |
Authorized Official Name and Position | Vajih M Khan (PRESIDENT/OWNER) |
Authorized Official Contact | 4072654801 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Vajih M Khan Md Pa Po Box 160635 Altamonte Springs FL 32716-0635 Ph: (407) 265-3801 | Vajih M Khan Md Pa 585 Maitland Ave Altamonte Springs FL 32701-6322 Ph: (407) 265-3801 |
NPI Number | 1780603977 |
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Provider Enumeration Date | 07/19/2006 |
Last Update Date | 07/23/2012 |
Medicare PECOS PAC ID | 5991797508 |
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Medicare Enrollment ID | O20040402000083 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780603977 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | ME0031143 (Florida) | Primary |
Provider Name | Vajih M Khan |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1184663817 PECOS PAC ID: 1658363163 Enrollment ID: I20040405000951 |
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