| Khan Biosurgical Tech Pa | |
|
101 E Florida Ave Melbourne FL 32901-8301 | |
| (321) 233-4028 | |
| Not Available |
| Full Name | Khan Biosurgical Tech Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 101 E Florida Ave, Melbourne, Florida |
| Authorized Official Name and Position | Muhammad Asad Khan (CEO) |
| Authorized Official Contact | 6173166776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khan Biosurgical Tech Pa 3232 Oxbow Ct Harmony FL 34773-6165 Ph: (321) 233-4028 | Khan Biosurgical Tech Pa 101 E Florida Ave Melbourne FL 32901-8301 Ph: (321) 233-4028 |
| NPI Number | 1194558080 |
|---|---|
| Provider Enumeration Date | 08/26/2024 |
| Last Update Date | 02/28/2025 |
| Medicare PECOS PAC ID | 6406388115 |
|---|---|
| Medicare Enrollment ID | O20241019000303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194558080 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Muhammad Asad Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821380544 PECOS PAC ID: 1355619172 Enrollment ID: I20210614000259 |
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