Healthcare Provider Details

I. General information

NPI: 1336349182
Provider Name (Legal Business Name): ASAD KHAN MOHMAND MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2007
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1823 COLLEGE AVE
MANHATTAN KS
66502-3381
US

IV. Provider business mailing address

4729 N HABANA AVE
TAMPA FL
33614-7113
US

V. Phone/Fax

Practice location:
  • Phone: 785-776-3322
  • Fax:
Mailing address:
  • Phone: 813-251-8444
  • Fax: 813-254-6414

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME127179
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number0432837
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: