Individual
DR. JAFFER J KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8421 POINTE LOOP DR, VENICE, FL 34293
(941) 412-9787
(941) 480-0388
Mailing address
PO BOX 1764, VENICE, FL 34284
(941) 412-9787
(941) 480-0388
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME83449
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00781
UNIVERSAL
—
01
—
06385
BLUE CROSS BLUE SHIELD
—
01
—
0829675-012
CIGNA
—
01
—
271075700
MCD
—
05
—
271075700
—
FL
01
—
4218642
AETNA
—
Enumeration date
08/11/2006
Last updated
08/27/2010
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