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Individual

WASEEMULLAH KHAN

Active
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Individual

WASEEMULLAH KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

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
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