MEDICARE: DR. ASLAM MOHAMMAD 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
1	207RI0011X	Interventional Cardiology Physician	ME38195	FL
2	207RI0011X	Interventional Cardiology Physician	35047343	OH
3	207RI0011X	Interventional Cardiology Physician	A36621	CA

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982631750
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ASLAM MOHAMMAD KHAN M.D.

Provider Business Mailing Address
First Line	:	4900 W OAKLAND PARK BLVD
Second Line	:	SUITE 207
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7500
Country	:	US
Telephone Number	:	954-735-7550
Fax Number	:	954-735-9130

Provider Business Practice Location Address
First Line	:	4900 W OAKLAND PARK BLVD
Second Line	:	SUITE 207
City	:	LAUDERDALE LAKES
State	:	FL
Zip	:	33313-7500
Country	:	US
Telephone Number	:	954-735-7550
Fax Number	:	954-735-9130

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

Provider Enumeration Date	:	06/27/2006
Last Update Date	:	12/31/2024

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Directions to “ DR. ASLAM MOHAMMAD KHAN M.D.” Practice Location

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