Organization
MANDARIN OB-GYN PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM QUADIR KHAN MD (PRESIDENT)
(904) 288-6910
Entity
Organization
Contact information
Practice address
13241 BARTRAM PARK BLVD UNIT 1309, JACKSONVILLE, FL 32258-5229
(904) 288-6910
(904) 288-6916
Mailing address
13241 BARTRAM PARK BLVD UNIT 1309, JACKSONVILLE, FL 32258-5229
(904) 288-6910
(904) 288-6916
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME77915
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256632000
—
FL
Enumeration date
09/25/2006
Last updated
01/05/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us