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General NPI Number Information
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NPI Number | 1174110068
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Entity Type | Individual
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Provider Name | AMBAR FAWAD KHAN MD, MBBS
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Gender | Female
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Dates
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Enumeration Date | 12/24/2020
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 8900 N KENDALL DR
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City | MIAMI
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State | FL
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Zip | 33176-2118
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Country | US
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Telephone | 786-596-7067
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 198054
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City | ATLANTA
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State | GA
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Zip | 30384-8054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | ME169408
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License Number State | FL
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