Individual
AISHA KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2020 TOWN CENTER BLVD STE B, BRANDON, FL 33511-2906
(813) 315-1500
Mailing address
38135 MARKET SQUARE DR, ZEPHYRHILLS, FL 33542-7505
(352) 567-0188
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9117287
FL
363AM0700X
Medical Physician Assistant
Primary
PA9117287
FL
Other
Enumeration date
07/03/2023
Last updated
07/23/2024
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