Khan, Waseemullah

Khan, Waseemullah 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 only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Khan, Waseemullah 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 / Medical Oncology 207RX0202X ME76931 Florida

Profile Details

NPI number 1073557864
LBN Legal business name Khan, Waseemullah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 15th, 2006
Last updated Dec 30th, 2024 - about 2 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 MEDICAID 262534200
Florida Other PTAN 01693W
Florida Other 830008471
Florida Other 279199
Florida Other 01693

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