Individual
SYEDA SUMERA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7981 GLADIOLUS DR, FORT MYERS, FL 33908-5123
(239) 939-0999
(239) 939-1070
Mailing address
7981 GLADIOLUS DR, FORT MYERS, FL 33908-5123
(239) 939-0999
(239) 939-1070
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME98271
FL
207RN0300X
Nephrology Physician
Primary
ME98271
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2787172 00
—
FL
Enumeration date
06/07/2007
Last updated
06/23/2022
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