Provider Type Icon

SYEDA MAIMUNA ALI KHAN M.D. NPI 1366639221


NPI Information

NPI: 1366639221
Provider Name: SYEDA MAIMUNA ALI KHAN, M.D.
Classification: Internal Medicine - 207R00000X
Entity Type: Individual
Organization: PMC LONG TERM CARE LLC

PECOS Registration: Yes

Address:
12901 BRUCE B DOWNS BLVD
MDC19
TAMPA, FL
ZIP 33612
Phone: (813) 974-2201
Get Directions

Syeda Maimuna Ali Khan, M.D. is an internal medicine in Tampa, FL with 22 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Syeda Maimuna Ali Khan, M.D. NPI is 1366639221. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12901 BRUCE B DOWNS BLVD
MDC19
TAMPA, FL
ZIP 33612-742
Phone: (813) 974-2201

The NPI 1366639221 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2007 and was last updated on 8/24/2020.


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
1207R00000XInternal Medicine86127GEORGIAYes
2207R00000XInternal MedicineME107445FLORIDANo
3207R00000XInternal Medicine245634NEW YORKNo
4208M00000XHospitalist245634NEW YORKNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114A4DOTHERFLORIDABLUE CROSS BLUE SHIELD
2002800300MEDICAIDFLORIDA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.