Individual
FATIMA E KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794
Mailing address
3645 MADACA LN, TAMPA, FL 33618-2048
(813) 969-0116
(813) 969-3794
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME142379
FL
Other
Enumeration date
03/21/2013
Last updated
01/08/2020
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