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1790996288
DASTAGIR A KHAN MD PA
JACKSONVILLE, FL
NPI
1790996288
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Entity Type
Organization
Authorized Contact
DASTAGIR A KHAN
Owner
904-955-7190
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: FL ME82073)
Enumeration Date
2007-05-25
Last Update Date
2011-06-03
Business Address
DASTAGIR A KHAN MD PA
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-955-7190
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Mailing Address
DASTAGIR A KHAN MD PA
207 BARONY DR
JACKSONVILLE, FL 32225-6119
Phone number: 904-955-7190
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