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Individual

AYESHA ANWAR KHAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.245803
OH
207R00000X
Internal Medicine Physician
ME148584
FL
207RN0300X
Nephrology Physician
96805
GA
207RN0300X
Nephrology Physician
ME148584
FL
208M00000X
Hospitalist Physician
Primary
96805
GA

Other

Enumeration date
07/17/2018
Last updated
04/27/2026
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