Individual
DR. ASIM J KHATTAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1578 W ORANGE BLOSSOM TRL BLDG 1560, APOPKA, FL 32712-2639
(407) 635-3027
(321) 203-4649
Mailing address
1578 W ORANGE BLOSSOM TRL BLDG 1560, APOPKA, FL 32712-2639
(407) 635-3027
(321) 203-4649
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME84397
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
265381800
—
FL
Enumeration date
04/28/2006
Last updated
05/26/2020
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