Individual
ABDUL WASAY KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 355-1122
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
ME174110
FL
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
ME174110
FL
Other
Enumeration date
07/03/2018
Last updated
12/09/2025
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