Individual
DR. JAVAAD KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13340 METRO PKWY STE 400, FORT MYERS, FL 33966-4818
(239) 343-1105
(239) 343-1106
Mailing address
PO BOX 2147, FT MYERS, FL 33902-2147
(239) 343-1105
(239) 343-1106
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
ME102742
FL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
ME102742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000622000
—
FL
05
—
2674913
—
OH
Enumeration date
05/10/2006
Last updated
03/29/2021
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