Individual
UBAID ASLAM KHOKHAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Mailing address
1543 KINGSLEY AVE STE 14, ORANGE PARK, FL 32073-4570
(904) 264-6977
(904) 269-0870
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME112832
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005548100
—
FL
01
—
GJ730Y
MEDICARE
FL
01
—
ME112832
FL- MEDICAL LICENSE
FL
Enumeration date
11/10/2007
Last updated
03/07/2023
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