MEDICARE: Z. A. KHAN, MD

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	207R00000X	Internal Medicine Physician	ME0019906	FL

General Provider Information

NPI Number	:	1033249586
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	Z. A. KHAN, MD

Provider Business Mailing Address
First Line	:	205 N PLANT AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4731
Country	:	US
Telephone Number	:	813-754-1871
Fax Number	:	813-754-1872

Provider Business Practice Location Address
First Line	:	205 N PLANT AVE
Second Line	:
City	:	PLANT CITY
State	:	FL
Zip	:	33563-4731
Country	:	US
Telephone Number	:	813-754-1871
Fax Number	:	813-754-1872

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ZAHEER A KHAN
Credential	:	MD
Telephone Number	:	813-754-1871

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	11/20/2007

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