MEDICARE: A ALIKHAN M.D. P.A.

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	ME47934	FL

General Provider Information

NPI Number	:	1558805077
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	A ALIKHAN M.D. P.A.

Provider Business Mailing Address
First Line	:	5055 S CONGRESS AVE STE 303
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4722
Country	:	US
Telephone Number	:	561-968-1100
Fax Number	:	561-968-1106

Provider Business Practice Location Address
First Line	:	5055 S CONGRESS AVE STE 303
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33461-4722
Country	:	US
Telephone Number	:	561-968-1100
Fax Number	:	561-968-1106

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. A ALIKHAN
Credential	:	MD
Telephone Number	:	561-968-1100

Provider Enumeration Date	:	12/19/2016
Last Update Date	:	02/26/2018

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