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Individual

DR. FRED D KHANI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2140 NE 26TH ST, WILTON MANORS, FL 33305-1536
(954) 566-7433
(954) 963-2380
Mailing address
2140 NE 26TH ST, WILTON MANORS, FL 33305-1536
(954) 566-7433
(954) 963-2380

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS1502
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OS1502
LICENSE
FL
Enumeration date
05/11/2007
Last updated
07/08/2007
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