| Vajih M Khan Md Pa | |
|
585 Maitland Ave Altamonte Springs FL 32701-6322 | |
| (407) 265-3801 | |
| (407) 767-5983 |
| Full Name | Vajih M Khan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 585 Maitland Ave, Altamonte Springs, Florida |
| Authorized Official Name and Position | Vajih M Khan (PRESIDENT/OWNER) |
| Authorized Official Contact | 4072654801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vajih M Khan Md Pa Po Box 160635 Altamonte Springs FL 32716-0635 Ph: (407) 265-3801 | Vajih M Khan Md Pa 585 Maitland Ave Altamonte Springs FL 32701-6322 Ph: (407) 265-3801 |
| NPI Number | 1780603977 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 07/23/2012 |
| Medicare PECOS PAC ID | 5991797508 |
|---|---|
| Medicare Enrollment ID | O20040402000083 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780603977 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0031143 (Florida) | Primary |
| Provider Name | Vajih M Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1184663817 PECOS PAC ID: 1658363163 Enrollment ID: I20040405000951 |
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