Individual
SOHAIL A KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
10175 FORTUNE PKWY UNIT 1106, JACKSONVILLE, FL 32256-6757
(904) 379-5928
(904) 379-5967
Mailing address
10175 FORTUNE PKWY UNIT 1106, JACKSONVILLE, FL 32256-6757
(904) 379-5928
(904) 379-5967
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
PA9102828
FL
363A00000X
Physician Assistant
PA 9102828
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292057300
—
FL
01
—
P00407536
RAILROAD MEDICARE
—
01
—
PA 9102828
PHYS ASSIST LICENSE
FL
Enumeration date
05/03/2007
Last updated
04/16/2026
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