Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0205X | Pediatric Endocrinologist | 222881 | NY |
Y | 2080P0205X | Pediatric Endocrinologist | ME99779 | FL |
NPI | 1265444715 |
---|---|
Provider Name | Dr. Asjad U Khan |
First Address | Fort Myers, FL 33902-2147 |
Second Address | Fort Myers, FL 33908-3838 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/08/2006 |
Last Update Date | 29/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02640926 | (05) | NY |
279556600 | (05) | FL |