DR. ADIL ARSHAD KHAN (NPI# 1417210717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417210717 |
| Entity Type | Individual |
| Full Name | DR. ADIL ARSHAD KHAN |
| Credential | MD |
| Practice Address |
3599 University Blvd S Ste 602 Jacksonville FL 32216 |
| Mailing Address |
1824 King St Suite 200 Jacksonville FL 32204 |
| Practice Telephone | 9043988147 |
| Practice Fax Number | 9044006674 |
| Mailing Telephone | 9043843343 |
| Mailing Fax Number | 9044006671 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2019-12-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
ME141817 | FL | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3635 Vista Ave, Saint Louis, MO 631102539 | 3145778317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437644283 | Adil Khan | Dentist | 10909 Webb Chapel Rd Ste 159, Dallas, TX 75229-3739 | 2018-06-25 |
| 1780117176 | Adil Khan | Internal Medicine | Iu Health Ball Memorial Hospital, 2525 W. University Ave, Suite 401, Muncie, IN 47303 | 2017-04-04 |
| 1588218036 | Adil Khan | Student in an Organized Health Care Education/Training Program | 1501 Kings Hwy, Shreveport, LA 71103 | 2019-08-01 |
| 1548813215 | Adil Khan | Behavior Technician | 101 H St Ste L, Petaluma, CA 94952-5100 | 2019-07-22 |
| 1013335967 | Adil Khan | Psychiatry & Neurology | 3555 W 13 Mile Rd # N120, Royal Oak, MI 48073-6710 | 2014-03-28 |
| 1598044299 | Adil Haleem Khan | Student in an Organized Health Care Education/Training Program | 20 York Street, T-209, Yale-new Haven Hospital, New Haven, CT 06510 | 2011-08-11 |
| 1538140884 | Adil A Khan | Psychiatry & Neurology | 1000 E Mountain Blvd, Wilkes Barre, PA 18711-0027 | 2005-11-11 |
| Street Address |
3599 UNIVERSITY BLVD S STE 602 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578568952 | Dawn Nichelle Rosado | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2005-06-14 |
| 1568061158 | Azucena Crosbie | Social Worker | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-10-23 |
| 1033735139 | Kristen Duncan | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-24 |
| 1336763184 | Amanda Ault | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-06-07 |
| 1699309989 | Christina Brown | Nurse Practitioner | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2020-02-26 |
| 1396383949 | Abby Maillet | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-12-13 |
| 1760034383 | Lauren Campbell Vann | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-13 |
| 1740842178 | Charmaine Uy | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-06 |
| 1871155317 | Michael Braun | Occupational Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-05 |
| 1023670775 | Alys Cook | Physical Therapist | 3599 University Blvd S, Jacksonville, FL 32216-4252 | 2019-07-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972882777 | Michael Jos Sweeney | Surgery | 2917 Grand Ave, Jacksonville, FL 32210-4405 | 2011-08-10 |
| 1780068460 | Surgery Clinic, LLC | Surgery | 320 Branscomb Dr Sw, Suite B, Jacksonville, AL 36265-3101 | 2015-07-13 |
| 1518257674 | Jared Todd Feyko | Surgery | 836 Prudential Dr, Ste 1804, Jacksonville, FL 32207 | 2011-04-11 |
| 1972795755 | Sara E Clark | Surgery | 1824 King St, Ste 200, Jacksonville, FL 32204-4735 | 2007-08-15 |
| 1578780672 | Houssam Farres | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2007-04-19 |
| 1922028026 | Danny H Vo | Surgery | 3599 University Blvd S, Ste 602, Jacksonville, FL 32216 | 2006-07-20 |
| 1477571008 | Robert G Ellison Jr. | Surgery | 836 Prudential Dr, Suite 1405, Jacksonville, FL 32207-8334 | 2006-07-18 |
| 1831174044 | Jon Christian Allmon | Surgery | 1824 King St, Ste 200, Jacksonville, FL 32204 | 2005-12-09 |
| 1124018924 | Albert Hakaim | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-24 |
| 1922098623 | Warner Oldenburg | Surgery | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2005-10-24 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.