Individual
HASSAN J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3508
(407) 975-3315
Mailing address
111 N LAKEMONT AVE, WINTER PARK, FL 32792-3213
(813) 650-3401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME104679
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001429800
—
FL
Enumeration date
07/08/2008
Last updated
05/12/2014
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