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General NPI Number Information
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NPI Number | 1285089672
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Entity Type | Individual
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Provider Name | MOHAMMAD KHAN D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2016
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Last Update Date | 08/24/2025
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Provider Practice Location Address
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Address Line | 1131 S ORANGE AVE
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City | ORLANDO
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State | FL
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Zip | 32806-1226
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Country | US
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Telephone | 941-444-0011
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Fax |
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Provider Business Mailing Address
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Address Line | ONSPOT DERMATOLOGY 1131 SOUTH ORANGE AVENUE, ORLANDO FL 33806
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City | KISSIMMEE
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State | FL
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Zip | 34741-4709
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Country | US
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Telephone | 480-659-8226
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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 | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 009736
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207ND0900X
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Taxonomy Name | Dermatopathology Physician
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License Number | OS21641
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 207ZD0900X
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Taxonomy Name | Dermatopathology (Pathology) Physician
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License Number | OS21641
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License Number State | FL
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