Individual
MARIAM KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19108 E COLONIAL DR, ORLANDO, FL 32820-3701
(407) 905-8827
(407) 660-1667
Mailing address
110 S WOODLAND ST, WINTER GARDEN, FL 34787-3546
(407) 409-2222
(407) 905-8998
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07432300
NJ
208000000X
Pediatrics Physician
Primary
ME154297
FL
Other
Enumeration date
07/30/2020
Last updated
08/16/2022
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