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NPI Code Detail

MEDICARE: IRFAN JAMIL KHAN M.D.

MEDICARE: IRFAN JAMIL 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
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1497286207
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRFAN JAMIL KHAN M.D.
Provider Business Mailing Address
First Line : 8798 DARLENE DR
Second Line :
City : ORLANDO
State : FL
Zip : 32836-5892
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3901 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66160-8500
Country : US
Telephone Number : 913-588-7076
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 03/23/2017

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