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DASTAGIR A KHAN MD PA NPI 1073815676


NPI Information

NPI: 1073815676
Provider Name: DASTAGIR A KHAN MD, PA
Classification: General Acute Care Hospital - 282N00000X
Entity Type: Organization
Address:
800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207
Phone: (904) 955-7190
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DASTAGIR A KHAN MD, PA is a general acute care hospital in Jacksonville, FL. The provider is an acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. DASTAGIR A KHAN MD, PA NPI is 1073815676. The provider is registered as an organization entity type.

The provider's business location address is:

800 PRUDENTIAL DR
JACKSONVILLE, FL
ZIP 32207-202
Phone: (904) 955-7190

The provider's authorized official is Dastagir Khan .
The authorized official title is Physician and has the following contact phone number (904) 955-7190.

The enumeration date for this NPI number is 12/2/2010 and was last updated on 12/2/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1282N00000XGeneral Acute Care HospitalARNP9264398FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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