Khan, Hassan J

Khan, Hassan J is an individual health care provider with primary practice located at 111 N Lakemont Ave , Winter Park FL 32792-3508. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Khan, Hassan J can be contacted via phone (407) 975-3315.

Contact Information

Primary practice address
111 N Lakemont Ave Winter Park FL 32792-3508
Phone: (407) 975-3315
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME104679 Florida

Profile Details

NPI number 1083877286
LBN Legal business name Khan, Hassan J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2008
Last updated May 12th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083877286 NPPES
Florida MEDICAID 001429800

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