Organization

Ateeque Khan, Md P.A.

Internal Medicine Physician in Jacksonville, FL(View on Map)

Legal Business Name

Ateeque Khan, Md P.A.

NPI Number

1457982977

NPI Type

Organization

Enumeration Date

02/03/2020

Specialties

(Taxonomies)

Code

207R00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

3659 EASTBURY DR
3659 EASTBURY DR

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1659
32224-1659

Country

US
US

Telephone Number

N/A
(904) 599-3225

Authorized Official

Name

Ateeque Khan

Title or Position

OWNER

Telephone Number

(904) 599-3225

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 02/03/2020

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