SIDDIQA K KHAN MD NPI 1740289180

NPI Information

NPI: 1740289180
Provider Name: SIDDIQA K KHAN, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
1833 BOULEVARD
VA OUTPATIENT CLINIC
JACKSONVILLE, FL
ZIP 32206
Phone: (904) 232-2751
Get Directions

Siddiqa K Khan, MD is a family medicine in Jacksonville, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Siddiqa K Khan, MD NPI is 1740289180. 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:

1833 BOULEVARD
VA OUTPATIENT CLINIC
JACKSONVILLE, FL
ZIP 32206-382
Phone: (904) 232-2751
Fax: (904) 301-2502

The NPI 1740289180 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 7/19/2005 and was last updated on 4/7/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		90990	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	392117	OTHER	FLORIDA	HEALTHEASE
2	3164176	OTHER	FLORIDA	CIGNA
3	I33233	MEDICARE UPIN	FLORIDA
4	2785404-00	MEDICAID	FLORIDA
5	298827	OTHER	FLORIDA	AV MED
6	2064269	OTHER	FLORIDA	FIRST COAST ADVANTAGE

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

NPI Synchronization or Removal

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