Individual
AURANGZAIB KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
131 S CITRUS AVE STE 301, INVERNESS, FL 34452-4701
(352) 560-6270
(352) 341-2354
Mailing address
PO BOX 2066, LECANTO, FL 34460-2066
(352) 563-0931
(352) 563-0935
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9103958
FL
363AM0700X
Medical Physician Assistant
Primary
PA 9103958
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000865801
—
FL
Enumeration date
02/06/2009
Last updated
10/18/2021
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