Khan, Waseem

Khan, Waseem is an sole proprietor health care provider with primary practice located at 289 Sw Stonegate Ter Suite103, Lake City FL 32024-3457. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Medical Oncology. Allopathic & Osteopathic Physicians / Medical Oncology is his primary health care specialty. Khan, Waseem can be contacted via phone (386) 755-1655.

Contact Information

Primary practice address
289 Sw Stonegate Ter Suite103 Lake City FL 32024-3457
Phone: (386) 755-1655
Fax: (386) 628-9231
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X ME76931 Florida
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X ME76931 Florida

Profile Details

NPI number 1073557864
LBN Legal business name Khan, Waseem
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Feb 15th, 2023 - 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 1073557864 NPPES
Florida Other 830008471 RR MCR
Florida Other PTAN 01693W RR MCR
Florida Other 01693 RR MCR
Florida Other 279199 RR MCR
Florida MEDICAID 262534200 RR MCR

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