Organization
SUMAIRA FAYYAZ KHAN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMAIRA FAYYAZ KHAN MD (PRESIDENT)
(813) 425-5826
Entity
Organization
Contact information
Practice address
18022 COZUMEL ISLE DR, TAMPA, FL 33647-3373
(813) 425-5826
Mailing address
18022 COZUMEL ISLE DR, TAMPA, FL 33647-3373
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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