MEDICARE: ASK MEDICAL GROUP PA

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
1	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1669632394
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASK MEDICAL GROUP PA

Provider Business Mailing Address
First Line	:	2707 E GRAND RESERVE
Second Line	:	#1422
City	:	CLEARWATER
State	:	FL
Zip	:	33759
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2707 E GRAND RESERVE CIR APT 1422
Second Line	:
City	:	CLEARWATER
State	:	FL
Zip	:	33759-4908
Country	:	US
Telephone Number	:	727-678-5577
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ABDUL S KHAN
Credential	:
Telephone Number	:	727-678-5577

Provider Enumeration Date	:	06/16/2008
Last Update Date	:	06/16/2008

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Directions to “ASK MEDICAL GROUP PA ” Practice Location

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