Individual
DR. TARA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3100 E FLETCHER AVENUE, TAMPA, FL 33613-4613
(813) 971-6000
(813) 972-5753
Mailing address
12479 TELECOM DRIVE, TAMPA, FL 33637-0913
(813) 972-4199
(813) 972-5753
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
238186-1
NY
207P00000X
Emergency Medicine Physician
Primary
OS10823
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001717300
—
FL
05
—
02957922
—
NY
Enumeration date
06/05/2007
Last updated
09/10/2012
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