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GOHAR S. KHAN, M.D., P,A.
NPI 1083985873
Family Medicine in South Daytona, FL

Active since January 25, 2012
905 BEVILLE RD, SOUTH DAYTONA, FL 32119(386) 767-9000(386) 767-3761 Get Directions Write a Review

NPPES record last updated: January 25, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gohar S. Khan, M.d., P,a. NPPES

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

GOHAR S. KHAN, M.D., P,A. (NPI 1083985873) is a healthcare organization registered as a family medicine in South Daytona, Florida and active in the NPI registry since January 2012. The organization lists Dede Siebenaler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083985873
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGOHAR S. KHAN, M.D., P,A.
Location Address905 BEVILLE RDSouth Daytona, FL 32119-1705
Mailing Address905 Beville RdSouth Daytona, FL 32119-1705 · (386) 767-9000 · Fax (386) 767-3761
Phone(386) 767-9000
Fax(386) 767-3761
Organization SubpartNo
Authorized OfficialDede SiebenalerOffice Manager · (386) 767-9000
Enumeration DateJanuary 25, 2012
✔ NPI 1083985873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME0029698
Definition
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.
905 BEVILLE RD, South Daytona, FL 32119
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Other Identifiers 2

Medicare UPIND58689FL
Medicaid254205600FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

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

ATAUR RAHMAN M.D
Family Medicine
905 BEVILLE RD
SOUTH DAYTONA, FL 32119
Volusia County (386) 767-9000
DR. GOHAR SHAMSHAD KHAN M.D.
Family Medicine
905 BEVILLE RD
SOUTH DAYTONA, FL 32119
Volusia County (386) 767-9000
SARINA HEALTHCARE LLC
Family Medicine
905 BEVILLE RD
SOUTH DAYTONA, FL 32119
Volusia County (386) 767-9000
JAMES KULIS APRN
Nurse Practitioner (Family)
905 BEVILLE RD
SOUTH DAYTONA, FL 32119
Volusia County (386) 767-9000

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 Gohar S. Khan, M.D., P,a.'s NPI number?

The NPI number for Gohar S. Khan, M.D., P,a. is 1083985873. It was assigned to this organization in the NPPES registry on January 25, 2012.

Where is Gohar S. Khan, M.D., P,a. located?

Gohar S. Khan, M.D., P,a. is located at 905 Beville Rd, South Daytona, FL 32119. The listed phone number is (386) 767-9000.

What is Gohar S. Khan, M.D., P,a.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Gohar S. Khan, M.D., P,a. was last updated on January 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.