DASTAGIR A KHAN MD, PA
NPI 1073815676
General Acute Care Hospital in Jacksonville, FL

Active since December 02, 2010
800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 955-7190 Get Directions Write a Review

NPPES record last updated: December 2, 2010. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dastagir A Khan Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DASTAGIR A KHAN MD, PA (NPI 1073815676) is a healthcare organization registered as a general acute care hospital in Jacksonville, Florida and active in the NPI registry since December 2010. The organization lists Dastagir Khan, Physician, as its authorized official.

NPPES Registry Identity

NPI1073815676
Entity TypeOrganization
Primary Taxonomy282N00000X
Legal Business NameDASTAGIR A KHAN MD, PA
Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202
Mailing Address207 Barony DrJacksonville, FL 32225-6119 · (904) 955-7190
Organization SubpartNo
Authorized OfficialDastagir KhanPhysician · (904) 955-7190
Enumeration DateDecember 2, 2010
NPI 1073815676 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral Acute Care HospitalHospitals
Taxonomy Code282N00000X
License Licensed in FL · ARNP9264398
Definition
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.
800 PRUDENTIAL DR, Jacksonville, FL 32207

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Speech-Language Pathologist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Physical Therapist
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Nurse Practitioner (Neonatal)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Anesthesiologist Assistant
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Pathology (Anatomic Pathology & Clinical Pathology)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207
Registered Nurse (Medical-Surgical)
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dastagir A Khan MD, PA's NPI number?

The NPI number for Dastagir A Khan MD, PA is 1073815676. It was assigned to this organization in the NPPES registry on December 2, 2010.

Where is Dastagir A Khan MD, PA located?

Dastagir A Khan MD, PA is located at 800 Prudential Dr, Jacksonville, FL 32207. The listed phone number is (904) 955-7190.

What is Dastagir A Khan MD, PA's specialty?

The primary specialty registered for this NPI is General Acute Care Hospital with taxonomy code 282N00000X.

When was this NPI record last updated?

The NPPES record for Dastagir A Khan MD, PA was last updated on December 2, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.