Individual
QAMAR S KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1300 W OAK ST, KISSIMMEE, FL 34741-4024
(407) 303-4078
(407) 303-4083
Mailing address
1300 W OAK ST, KISSIMMEE, FL 34741-4024
(407) 303-4078
(407) 303-4083
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
036.092778
IL
207RH0003X
Hematology & Oncology Physician
22515
NE
207RH0003X
Hematology & Oncology Physician
Primary
ME99453
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001742800
—
FL
01
—
07312
BLUE CROSS BLUE SHIELD
NE
01
—
265133
AVMED
FL
01
—
32792
BCBS
FL
05
—
55079992300
—
NE
01
—
P00029878
RAILROAD MEDICARE
—
Enumeration date
07/26/2005
Last updated
03/18/2016
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