Organization
DASTAGIR A KHAN MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DASTAGIR A KHAN MD (OWNER)
(904) 955-7190
Entity
Organization
Contact information
Practice address
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8202
(904) 955-7190
Mailing address
207 BARONY DR, JACKSONVILLE, FL 32225-6119
(904) 955-7190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME82073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270290800
—
FL
01
—
57641
BCBS OF FLORIDA
FL
01
—
D06811
RAILROAD MEDICARE
FL
Enumeration date
05/25/2007
Last updated
06/03/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us