Organization
INNOVA MEDICAL GROUP AND RESEARCH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KHALIL AHMED KHAN DO (PRESIDENT)
(786) 320-3460
Entity
Organization
Contact information
Practice address
5881 NW 151ST ST STE 201, MIAMI LAKES, FL 33014-2442
(786) 320-3460
Mailing address
5881 NW 151ST ST STE 201, MIAMI LAKES, FL 33014-2442
(786) 320-3460
(305) 203-0729
Taxonomy
Speciality
Code
Description
License number
State
207NS0135X
Procedural Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207QD0401X
Diabetology (Family Medicine) Physician
—
—
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
261QD0000X
Dental Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
261QR1100X
Research Clinic/Center
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/03/2026
Last updated
04/15/2026
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