Khan, Syeda Sumera

Khan, Syeda Sumera is an individual health care provider with primary practice located at 7981 Gladiolus Dr , Fort Myers FL 33908-5123. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Khan, Syeda Sumera can be contacted via phone (239) 939-0999.

Contact Information

Primary practice address
7981 Gladiolus Dr Fort Myers FL 33908-5123
Fax: (239) 939-1070
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X ME98271 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME98271 Florida

Profile Details

NPI number 1457554529
LBN Legal business name Khan, Syeda Sumera
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jun 23rd, 2022 - about 3 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 1457554529 NPPES
Florida MEDICAID 2787172 00

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