DASTAGIR A KHAN MD PA
NPI 1790996288
Internal Medicine in Jacksonville, FL

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

The NPI number for Dastagir A Khan MD PA is 1790996288. It was assigned to this organization in the NPPES registry on May 25, 2007.

Q: What is Dastagir A Khan MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since May 25, 2007

800 PRUDENTIAL DR, JACKSONVILLE, FL 32207(904) 955-7190 Get Directions Write a Review

NPPES record last updated: June 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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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 1790996288) is a healthcare organization registered as an internal medicine in Jacksonville, Florida and active in the NPI registry since May 2007. The organization lists Dastagir A Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1790996288

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameDASTAGIR A KHAN MD PA

Location Address800 PRUDENTIAL DRJacksonville, FL 32207-8202

Mailing Address207 Barony DrJacksonville, FL 32225-6119 · (904) 955-7190

Phone(904) 955-7190

Organization SubpartNo

Authorized OfficialDastagir A KhanOwner · (904) 955-7190

Enumeration DateMay 25, 2007

Last NPPES UpdateJune 3, 2011

✔ NPI 1790996288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME82073

Definition

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.

800 PRUDENTIAL DR, Jacksonville, FL 32207

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Other Identifiers 4

Medicare PINAG952FL

Other57641FL · Bcbs Of Florida

OtherD06811FL · Railroad Medicare

Medicaid270290800FL

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 20

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

ERIN M SCHOLZ MS CCC-SLP

Speech-Language Pathologist