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NPI Code Detail

MEDICARE: ATIF NIAZ KHAN M.D

MEDICARE: ATIF NIAZ 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
1207R00000XInternal Medicine Physician63362WI
2208M00000XHospitalist Physician63362WI
3207RH0003XHematology & Oncology PhysicianME145884FL

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 : 1326303793
Entity Type Code : Individual
Provider Name (Legal Business Name) : ATIF NIAZ KHAN M.D
Provider Business Mailing Address
First Line : 1497 GARDEN RD
Second Line :
City : WESTON
State : FL
Zip : 33326-2716
Country : US
Telephone Number : 715-383-3177
Fax Number :
Provider Business Practice Location Address
First Line : 1475 W 49TH PL
Second Line :
City : HIALEAH
State : FL
Zip : 33012-3113
Country : US
Telephone Number : 305-558-2500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2012
Last Update Date : 05/23/2023

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