MEDICARE: DR. HUMAIRA V 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	ME81096	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1356344493
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUMAIRA V KHAN MD

Provider Business Mailing Address
First Line	:	PO BOX 100488
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33310-0488
Country	:	US
Telephone Number	:	954-486-8663
Fax Number	:	954-486-8979

Provider Business Practice Location Address
First Line	:	4850 W OAKLAND PARK BLVD
Second Line	:	STE 132
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7268
Country	:	US
Telephone Number	:	954-486-8663
Fax Number	:	954-486-8979

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	11/04/2011

Similar Medicare Providers

1184664682 — MRS. NANCY NANETTE TIENHAARA M.S, ATC L, EMT
Practice Location Address:

4850 W OAKLAND PARK BLVD
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-731-7440
Practice Fax: 954-731-7675

1679870877 — FLORIDA WOMAN CARE, LLC
Practice Location Address:

4850 W OAKLAND PARK BLVD , SUITE 118
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-485-1511
Practice Fax: 954-739-7948

1548559834 — DR. MICHAEL C KINDYA M.D.
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-3535
Practice Fax: 954-484-7000

1770855421 — STACY-ANN MELISSA EMMANUEL
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-1035
Practice Fax:

1063754455 — ISAAC BURDEINICK APRN
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-3535
Practice Fax: 954-484-7000

1265874531 — MR. REJI P PERUMPRAYIL
Practice Location Address:

4850 W OAKLAND PARK BLVD STE 201
LAUDERDALE LAKES, FL
33313-7268

Practice Phone: 954-735-3535
Practice Fax:

Directions to “ DR. HUMAIRA V KHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.