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Individual

MOHAMMAD ASIF KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
425 N LEE ST STE 204, JACKSONVILLE, FL 32204
(904) 247-1200
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
ME103595
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003112552B
GA
05
003112552G
GA
05
003704001
FL
01
1100390
CAREPLUS
FL
01
1193185
WELLCARE
FL
01
1317410
CIGNA
FL
01
14ET0
BCBS FL
FL
01
304311
UNIVERSAL HEALTHCARE
FL
01
349046
AVMED
FL
01
617246
WELLCARE
FL
01
9135781
AETNA
FL
01
P00986949
RAILROAD MEDICARE
FL
01
P01593280
RR MEDICARE
FL
01
P12273773
SIMPLY HEALTHCARE
FL
01
P936573
OPTIMUM
FL
01
P995026
FREEDOM HEALTH
FL
Enumeration date
01/18/2007
Last updated
06/29/2018
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