Individual
DR. ASJAD U KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22655 BAYSHORE RD STE 110, PORT CHARLOTTE, FL 33980-2005
(941) 235-4900
(941) 235-4901
Mailing address
PO BOX 2147, FORT MYERS, FL 33902-2147
(239) 343-9890
(239) 343-4191
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME99779
FL
2080P0205X
Pediatric Endocrinology Physician
222881
NY
2080P0205X
Pediatric Endocrinology Physician
Primary
ME99779
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02640926
—
NY
05
—
279556600
—
FL
Enumeration date
08/13/2006
Last updated
06/27/2024
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