Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 106738 | FL |
N | 111NI0900X | Internist | 106738 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | 106738 | FL |
Y | 207RC0001X | Clinical Cardiac Electrophysiologist | 106738 | FL |
NPI | 1053572123 |
---|---|
Provider Name | Aslam Mohammed Khan |
First Address | Tampa, FL 33606-3571 |
Second Address | Tampa, FL 33606-3571 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2008 |
Last Update Date | 18/06/2010 |