Individual
KHAN ADNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 LAKEVIEW RD, CLEARWATER, FL 33756-3423
(727) 461-1439
(727) 443-7230
Mailing address
PO BOX 10549, ST PETERSBURG, FL 33733-0549
(727) 824-8100
(727) 824-8166
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME71902
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253057100
—
FL
Enumeration date
12/13/2005
Last updated
06/13/2011
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