Mandarin Ob-Gyn Pa

LBN: Mandarin Ob-Gyn Pa
Mandarin Ob-Gyn Pa is an health care organization with primary practice located at 13241 Bartram Park Blvd Unit 1309 , Jacksonville FL 32258-5229. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as the primary health care specialty. Mandarin Ob-Gyn Pa can be contacted via phone (904) 288-6910, or through Khan, Ghulam Quadir via phone (904) 288-6910.

Contact Information

Primary practice address
13241 Bartram Park Blvd Unit 1309 Jacksonville FL 32258-5229
Phone: (904) 288-6910
Fax: (904) 288-6916
Website:
Map and Directions
Authorized official contact:
Name: Khan, Ghulam Quadir Doctor of Medicine (MD)
Phone: (904) 288-6910

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X ME77915 Florida

Profile Details

NPI number 1407956972
LBN Legal business name Mandarin Ob-Gyn Pa
DBA Doing business as
Authorized official Khan, Ghulam Quadir Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2006
Last updated Jan 5th, 2018 - about 7 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 1407956972 NPPES
Florida MEDICAID 256632000

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