Individual
DR. ATEEQUE R. KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4466 SWILCAN BRIDGE LN N, JACKSONVILLE, FL 32224-5617
(904) 599-3225
(904) 821-8050
Mailing address
PO BOX 552318, TAMPA, FL 33655-0001
(904) 599-3225
(904) 281-9806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
222724
NY
207R00000X
Internal Medicine Physician
Primary
ME97554
FL
Other
Enumeration date
07/12/2006
Last updated
08/02/2021
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