Khattak, Asim J

Khattak, Asim J is an sole proprietor health care provider with primary practice located at 1578 W Orange Blossom Trl Bldg 1560 , Apopka FL 32712-2639. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khattak, Asim J can be contacted via phone (407) 635-3027.

Contact Information

Primary practice address
1578 W Orange Blossom Trl Bldg 1560 Apopka FL 32712-2639
Fax: (321) 203-4649
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME84397 Florida

Profile Details

NPI number 1578520730
LBN Legal business name Khattak, Asim J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated May 26th, 2020 - about 6 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 1578520730 NPPES
Florida MEDICAID 265381800

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