| Doctor Name: | GHULAM QUADIR KHAN |
| NPI Number: | 1306999735 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME77915 |
| Business Practice Address: | 11701-32 San Jose Blvd Suite 114 Jacksonville, FL - 32223 |
| Business Phone Number: | 9042886910 |
| Business Fax Number: | 9042886916 |
| Mailing Address: | 11701-32 San Jose Blvd, Suite 114 JACKSONVILLE |
| State: | FL |
| Postal Code: | 32223 |
| Phone Number: | 9042886910 |
| Fax Number: | 9042886916 |
| NPI Enumeration Date: | 01/19/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | ME77915 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |