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Organization
INNOVA MEDICAL GROUP AND RESEARCH INC
Active
Organization
INNOVA MEDICAL GROUP AND RESEARCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL AHMED KHAN DO (PRESIDENT)
(786) 320-3460
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST STE 201, MIAMI LAKES, FL 33014-2442
(786) 320-3460
Mailing address
5881 NW 151ST ST STE 201, MIAMI LAKES, FL 33014-2442
(786) 320-3460
(305) 203-0729
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
NULL
207NS0135X
Procedural Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207QD0401X
Diabetology (Family Medicine) Physician
—
NULL
207QD0401X
Diabetology (Family Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
NULL
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
261QD0000X
Dental Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP2000X
Physical Therapy Clinic/Center
—
NULL
261QP2300X
Primary Care Clinic/Center
—
NULL
261QR1100X
Research Clinic/Center
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/03/2026
Last updated
04/15/2026
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