MEDICARE: MAQSOOD KHAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	OS22673	FL

General Provider Information

NPI Number	:	1003376823
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MAQSOOD KHAN

Provider Business Mailing Address
First Line	:	52 UNDERWOOD ST # MP153
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-842-8475
Fax Number	:	407-849-6470

Provider Business Practice Location Address
First Line	:	52 UNDERWOOD ST
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32806-1110
Country	:	US
Telephone Number	:	321-842-8475
Fax Number	:	407-849-6470

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2019
Last Update Date	:	02/12/2026

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Directions to “ MAQSOOD KHAN ” Practice Location

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