Individual
WALI U KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
37914 DAUGHTERY RD, ZEPHYRHILLS, FL 33541-1316
(813) 715-4446
(813) 780-7786
Mailing address
PO BOX 48589, TAMPA, FL 33646-0122
(813) 715-4446
(813) 780-7786
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME41877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060069167
RAILROAD MEDICARE
FL
05
—
204252500
—
FL
Enumeration date
07/08/2005
Last updated
04/06/2017
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