Healthcare Provider Details

I. General information

NPI: 1952784787
Provider Name (Legal Business Name): ABASEEN KHAN AFGHAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2015
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8354 N DAVIS HWY STE 100
PENSACOLA FL
32514-6584
US

IV. Provider business mailing address

3636 N CAMPBELL AVE APT 3221
TUCSON AZ
85719-1546
US

V. Phone/Fax

Practice location:
  • Phone: 850-549-4755
  • Fax:
Mailing address:
  • Phone: 412-737-3146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberR76746
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: