| Zakir H. Khan M.d. P.a. | |
|
2406 S Seacrest Blvd Boynton Beach FL 33435-6702 | |
| (561) 734-0776 | |
| (561) 734-2285 |
| Full Name | Zakir H. Khan M.d. P.a. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2406 S Seacrest Blvd, Boynton Beach, Florida |
| Authorized Official Name and Position | Zakir H Khan (PRESIDENT) |
| Authorized Official Contact | 5617340776 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zakir H. Khan M.d. P.a. 2406 S Seacrest Blvd Boynton Beach FL 33435-6702 Ph: (561) 734-0776 | Zakir H. Khan M.d. P.a. 2406 S Seacrest Blvd Boynton Beach FL 33435-6702 Ph: (561) 734-0776 |
| NPI Number | 1285938795 |
|---|---|
| Provider Enumeration Date | 12/28/2010 |
| Last Update Date | 12/28/2010 |
| Medicare PECOS PAC ID | 7416129697 |
|---|---|
| Medicare Enrollment ID | O20111012000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285938795 | NPI | - | NPPES |
| 110169850 | Medicaid | FL | |
| 94086 | Other | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME40098 (Florida) | Primary |
| Provider Name | Zakir H Khan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275689473 PECOS PAC ID: 3678745866 Enrollment ID: I20111025000534 |
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