MEDICARE: DR. KHURAM A. KHAN DO.

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	207L00000X	Anesthesiology Physician	248933-1	NY
2	207L00000X	Anesthesiology Physician	OS11723	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	:	1982865671
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KHURAM A. KHAN DO.

Provider Business Mailing Address
First Line	:	7957 N UNIVERSITY DR # 110
Second Line	:
City	:	PARKLAND
State	:	FL
Zip	:	33067-2601
Country	:	US
Telephone Number	:	305-450-4103
Fax Number	:

Provider Business Practice Location Address
First Line	:	732 S 6TH ST STE N
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89101-6948
Country	:	US
Telephone Number	:	305-450-4103
Fax Number	:

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

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	02/18/2025

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