Gohar S. Khan, M.D., P,A.

LBN: Gohar S. Khan, M.D., P,A.
Gohar S. Khan, M.D., P,A. is an health care organization with primary practice located at 905 Beville Rd , South Daytona FL 32119-1705. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Gohar S. Khan, M.D., P,A. can be contacted via phone (386) 767-9000, or through Siebenaler, Dede via phone (386) 767-9000.

Contact Information

Primary practice address
905 Beville Rd South Daytona FL 32119-1705
Phone: (386) 767-9000
Fax: (386) 767-3761
Website:
Map and Directions
Authorized official contact:
Name: Siebenaler, Dede
Phone: (386) 767-9000

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME0029698 Florida

Profile Details

NPI number 1083985873
LBN Legal business name Gohar S. Khan, M.D., P,A.
DBA Doing business as
Authorized official Siebenaler, Dede
Entity Organization
Organization subpart 1 No
Enumeration date Jan 25th, 2012
Last updated Jan 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083985873 NPPES
Florida MEDICAID 254205600

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