MEDICARE: ZAFAR MS KHAN MD

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD27038	OR
2	207Q00000X	Family Medicine Physician	48292	WI
3	208M00000X	Hospitalist Physician	ME121235	FL
4	208M00000X	Hospitalist Physician	MD60196214	WA
5	208M00000X	Hospitalist Physician	MD27038	OR
6	207Q00000X	Family Medicine Physician	MD60196214	WA
7	208M00000X	Hospitalist Physician	48292	WI

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01083285	OTHER	OR	RR MEDICARE (PH&S)-PMG

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

NPI Number	:	1154399517
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ZAFAR MS KHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	160 NW 170TH ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33169-5576
Country	:	US
Telephone Number	:	305-651-1100
Fax Number	:

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

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	03/25/2026

701 NW 27TH AVE
MIAMI, FL
33125-3012

Practice Phone: 786-744-1900
Practice Fax: 305-760-4141

160 NW 170TH ST
NORTH MIAMI BEACH, FL
33169-5576