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MANDARIN OB-GYN PA
NPI 1407956972
Obstetrics & Gynecology in Jacksonville, FL

Active since September 25, 2006
13241 BARTRAM PARK BLVD UNIT 1309, JACKSONVILLE, FL 32258(904) 288-6910(904) 288-6916 Get Directions Write a Review

NPPES record last updated: January 5, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mandarin Ob-gyn Pa NPPES

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

MANDARIN OB-GYN PA (NPI 1407956972) is a healthcare organization registered as an obstetrics & gynecology in Jacksonville, Florida and active in the NPI registry since September 2006. The organization lists Ghulam Quadir Khan, President, as its authorized official.

NPPES Registry Identity

NPI1407956972
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameMANDARIN OB-GYN PA
Location Address13241 BARTRAM PARK BLVD UNIT 1309Jacksonville, FL 32258-5229
Mailing Address13241 Bartram Park Blvd Unit 1309Jacksonville, FL 32258-5229 · (904) 288-6910 · Fax (904) 288-6916
Phone(904) 288-6910
Fax(904) 288-6916
Organization SubpartNo
Authorized OfficialGhulam Quadir KhanPresident · (904) 288-6910
Enumeration DateSeptember 25, 2006
Last NPPES UpdateJanuary 5, 2018
✔ NPI 1407956972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in FL · ME77915
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
13241 BARTRAM PARK BLVD UNIT 1309, Jacksonville, FL 32258
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Other Identifiers 1

Medicaid256632000FL

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

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 Mandarin Ob-Gyn PA's NPI number?

The NPI number for Mandarin Ob-Gyn PA is 1407956972. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Mandarin Ob-Gyn PA located?

Mandarin Ob-Gyn PA is located at 13241 Bartram Park Blvd Unit 1309, Jacksonville, FL 32258. The listed phone number is (904) 288-6910.

What is Mandarin Ob-Gyn PA's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Mandarin Ob-Gyn PA was last updated on January 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.