Provider Demographics
NPI:1497959886
Name:KHAN, KASHAN R (MD)
Entity Type:Individual
Prefix:
First Name:KASHAN
Middle Name:R
Last Name:KHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:31810 U.S. HIGHWAY 27
Mailing Address - Street 2:P M PEDIATRICS, P.A.
Mailing Address - City:HAINES CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33844
Mailing Address - Country:US
Mailing Address - Phone:863-419-1428
Mailing Address - Fax:863-422-1893
Practice Address - Street 1:327 WEST CYPRESS STREET
Practice Address - Street 2:PM PEDIATRICS, P.A.
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34741
Practice Address - Country:US
Practice Address - Phone:407-483-0672
Practice Address - Fax:407-348-5882
Is Sole Proprietor?:No
Enumeration Date:2007-06-12
Last Update Date:2018-05-24
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Provider Licenses
StateLicense IDTaxonomies
FLME-100789207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine