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NPI Code Detail

MEDICARE: DR. RAFAY KHAN MD

MEDICARE: DR. RAFAY 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
1174400000XSpecialist30648TN
2208000000XPediatrics PhysicianME99347FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1093700627
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAFAY KHAN MD
Provider Business Mailing Address
First Line : 9028 GREAT HERON CIR
Second Line :
City : ORLANDO
State : FL
Zip : 32836-5483
Country : US
Telephone Number : 407-343-1221
Fax Number : 407-343-8228
Provider Business Practice Location Address
First Line : 2497 TRAFALGAR BLVD
Second Line :
City : KISSIMMEE
State : FL
Zip : 34758-2551
Country : US
Telephone Number : 407-343-1221
Fax Number : 407-343-8228
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2005
Last Update Date : 07/20/2022

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