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NPI Code Detail

MEDICARE: KHAN ADNAN MD

MEDICARE: KHAN ADNAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208000000XPediatrics PhysicianME71902FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1376528406
Entity Type Code : Individual
Provider Name (Legal Business Name) : KHAN ADNAN MD
Provider Business Mailing Address
First Line : PO BOX 10549
Second Line :
City : ST PETERSBURG
State : FL
Zip : 33733-0549
Country : US
Telephone Number : 727-824-8100
Fax Number : 727-824-8166
Provider Business Practice Location Address
First Line : 1020 LAKEVIEW RD
Second Line :
City : CLEARWATER
State : FL
Zip : 33756-3423
Country : US
Telephone Number : 727-461-1439
Fax Number : 727-443-7230
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2005
Last Update Date : 06/13/2011

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