MEDICARE: CENTER FOR AGING INC

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	207RG0300X	Geriatric Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1821406927
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR AGING INC

Provider Business Mailing Address
First Line	:	909 FRANKLIN ST SE STE A
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4334
Country	:	US
Telephone Number	:	256-964-7635
Fax Number	:	256-799-1999

Provider Business Practice Location Address
First Line	:	909 FRANKLIN ST SE STE A
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-4334
Country	:	US
Telephone Number	:	256-964-7635
Fax Number	:	256-799-1999

Authorized Official
Title or Position	:	MD/OWNER
Name	:	DR. ZAHEER KHAN
Credential	:	MD
Telephone Number	:	256-964-7635

Provider Enumeration Date	:	08/01/2014
Last Update Date	:	08/01/2014

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