MEDICARE: DR. KAMRAN KHAN M.D.

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	2086S0122X	Plastic and Reconstructive Surgery Physician	ME164533	FL

General Provider Information

NPI Number	:	1225560816
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAMRAN KHAN M.D.

Provider Business Mailing Address
First Line	:	10151 ENTERPRISE CTR STE 109
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3760
Country	:	US
Telephone Number	:	561-905-1821
Fax Number	:

Provider Business Practice Location Address
First Line	:	10151 ENTERPRISE CTR STE 109
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-3760
Country	:	US
Telephone Number	:	561-905-1821
Fax Number	:

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

Provider Enumeration Date	:	04/01/2017
Last Update Date	:	05/03/2026

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