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Individual
SIDDIQA K KHAN
Active
Individual
SIDDIQA K KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
90990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2064269
FIRST COAST ADVANTAGE
FL
05
—
2785404-00
—
FL
01
—
298827
AV MED
FL
01
—
3164176
CIGNA
FL
01
—
392117
HEALTHEASE
FL
Enumeration date
07/19/2005
Last updated
04/07/2011
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