Individual
WASEEMULLAH KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
289 SW STONEGATE TER, SUITE103, LAKE CITY, FL 32024-3457
(386) 755-1655
(386) 628-9231
Mailing address
289 SW STONEGATE TER STE 103, LAKE CITY, FL 32024-3457
(386) 755-1655
(386) 755-2330
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME76931
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01693
BCBS
FL
05
—
262534200
—
FL
01
—
279199
AVMED
FL
01
—
830008471
RR MCR
FL
01
—
PTAN 01693W
LINKED TO GROUP PTAN IE881A EFFECTIVE 07/01/15
FL
Enumeration date
06/15/2006
Last updated
12/30/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us