Gohar S. Khan, M.d., P,a.

NPI 1083985873 - Family Medicine - 207Q00000X

NPI Details
NPI 1083985873
Enumeration Date 01/25/2012
Last Updated 01/25/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DEDE DEDE
Position OFFICE MANAGER
Phone (386) 767-9000
Fax (386) 767-3761
Practice Location
905 BEVILLE RD
SOUTH DAYTONA FL, 32119-1705, US
Phone (386) 767-9000
Fax (386) 767-3761
Business Location
905 BEVILLE RD
SOUTH DAYTONA FL, 32119-1705, US
Phone (386) 767-9000
Fax (386) 767-3761
Toxanomy
Taxonomy Code 207Q00000X
License State Florida
License Number ME0029698
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According to our database, Gohar S. Khan, M.d., P,a. NPI is 1083985873, taxonomy code is 207Q00000X and license number is ME0029698, license state is located at Florida. Gohar S. Khan, M.d., P,a. physically located at 905 Beville Rd, South Daytona FL, 32119-1705. NPI Number 1033115704 has the healthcare provider type.

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1083985873 NPI number is provided on an as is basis without warranty of any kind. 1083985873 is maintained by the National Plan & Provider Enumeration System. The contents of Gohar S. Khan, M.d., P,a. are for informational purposes only.