DASTAGIR A KHAN MD PA

JACKSONVILLE, FL
NPI1790996288
Entity TypeOrganization
Authorized ContactDASTAGIR A KHAN
Owner
904-955-7190
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: FL  ME82073)
Enumeration Date2007-05-25
Last Update Date2011-06-03
Business Address
DASTAGIR A KHAN MD PA
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-955-7190
Mailing Address
DASTAGIR A KHAN MD PA
207 BARONY DR
JACKSONVILLE, FL 32225-6119
Phone number: 904-955-7190