| Ghulam Quadir Khan, MD | |
|
11701-32 San Jose Blvd, Suite 114, Jacksonville, FL 32223 | |
| (904) 288-6910 | |
| (904) 288-6916 |
| Full Name | Ghulam Quadir Khan |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 11701-32 San Jose Blvd, Jacksonville, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306999735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME77915 (Florida) | Primary |
| Entity Name | Vitalmd Group Holding Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871572032 PECOS PAC ID: 8921091786 Enrollment ID: O20040406001878 |
| Mailing Address | Practice Location Address |
|---|---|
| Ghulam Quadir Khan, MD 11701-32 San Jose Blvd, Suite 114, Jacksonville, FL 32223 Ph: (904) 288-6910 | Ghulam Quadir Khan, MD 11701-32 San Jose Blvd, Suite 114, Jacksonville, FL 32223 Ph: (904) 288-6910 |
Frank E Trogolo, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-647-6946 Fax: 844-473-3117 | |
Fernando Miguel Fernandez, D.O. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 14540 Old Saint Augustine Rd Ste 2391, Jacksonville, FL 32258 Phone: 904-268-5300 Fax: 904-268-5040 | |
Kayla Bagwell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 11945 San Jose Blvd, Jacksonville, FL 32223 Phone: 904-262-5333 | |
Dr. Judy Bowers, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3625 University Blvd S, Jacksonville, FL 32216 Phone: 904-702-6850 | |
Dr. Joann G Acuna, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 836 Prudential Dr Ste 1800, Jacksonville, FL 32207 Phone: 904-398-7684 Fax: 904-398-4998 | |
Dr. Autumn Gabrielle Prieto, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 655 W 8th St, Jacksonville, FL 32209 Phone: 904-383-1037 Fax: 904-244-4059 | |
Ina Jani, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1301 Palm Ave Ste 700, Jacksonville, FL 32207 Phone: 904-202-7300 Fax: 904-202-2754 |