Healthcare Provider Details

I. General information

NPI: 1063625119
Provider Name (Legal Business Name): MUHAMMAD AAMER ZAMAN KHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/05/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 E 6TH ST STE 302
PANAMA CITY FL
32401-3699
US

IV. Provider business mailing address

PO BOX 11407
BIRMINGHAM AL
35246-1431
US

V. Phone/Fax

Practice location:
  • Phone: 850-770-3030
  • Fax: 850-770-3035
Mailing address:
  • Phone: 361-572-0333
  • Fax: 361-703-5101

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberME117122
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberM6472
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License NumberM6472
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: