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Individual

SAMIA SARWAR KHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
(321) 951-7408

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME120732
FL
208M00000X
Hospitalist Physician
Primary
ME120732
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
013457400
FL
01
LK756
MEDICARE
FL
Enumeration date
04/13/2010
Last updated
08/19/2019
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