Individual
FAISAL B KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
633 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-0033
(813) 643-3366
Mailing address
633 W LUMSDEN RD, BRANDON, FL 33511-5911
(813) 643-0033
(813) 643-3366
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
ME88294
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04265237
ECFMG
—
01
—
11197233
CAQH
FL
Enumeration date
10/20/2005
Last updated
07/08/2008
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