Individual
DR. KHALID KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
619 S MARION AVE, VA MEDICAL CENTER LAKE CITY (11F), LAKE CITY, FL 32025-5808
(386) 755-3016
Mailing address
619 S MARION AVE, VA MEDICAL CENTER LAKE CITY (11F), LAKE CITY, FL 32025-5808
(386) 755-3016
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301070467
MI
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
4301070467
MI
Other
Enumeration date
08/30/2006
Last updated
02/05/2008
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