DR. ABDUS SALAM KHAN (NPI# 1538163969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538163969 |
| Entity Type | Individual |
| Full Name | DR. ABDUS SALAM KHAN |
| Credential | MD |
| Practice Address |
301 Memorial Medical Parkway Daytona Beach FL 33174-1804 |
| Mailing Address |
Po Box 30069 Tampa FL 33630-3069 |
| Practice Telephone | 3862313346 |
| Mailing Telephone | 3866760255 |
| Mailing Fax Number | 3866762555 |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2019-08-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | ME-0071027 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | CITRUS INDIVIDUAL | 10560601 | 01 |
| FL | TAX ID | 200656648 | 01 |
| FL | BCBS INDIVIDUAL | 32566 | 01 |
| FL | BCBS GROUP UC | B903U | 01 |
| FL | MEDICAL LICENSE | ME0071027 | 01 |
| FL | HUMANA UC | 000029271 | 01 |
| FL | UNIVERAL UC | 08802 | 01 |
| FL | CITRUS GROUP UC | 10560801 | 01 |
| FL | AMERIGROUP UC | 289370 | 01 |
| FL | RR INDIVIDUAL | P00141526 | 01 |
| FL | WELLCARE UC | 285718 | 01 |
| FL | GHI | 2589619 | 01 |
| FL | 269227900 | 05 | |
| FL | AETNA UC | 3535562 | 01 |
| FL | RR GROUP | DB9962 | 01 |
| FL | 251002200 | 05 | |
| FL | AVMED UC | 295858 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679517619 | Abdus S Khan | Internal Medicine | 350 S Broadway, Hicksville, NY 11801-5006 | 2006-06-16 |
| Street Address |
301 MEMORIAL MEDICAL PARKWAY |
| City | DAYTONA BEACH |
| State | FL |
| Zip Code | 33174-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518430354 | Troy Kirsten Frazier | Nurse Anesthetist, Certified Registered | 301 Memorial Medical Parkway, Daytona Beach, FL 32117 | 2019-01-04 |
| 1346643848 | Heather Messick | Nurse Practitioner | 301 Memorial Medical Parkway, Florida Hospital Memorial Medical Center, Daytona Beach, FL 32117 | 2014-09-29 |
| 1245569938 | Nubia Fonseca Ortiz | Internal Medicine | 301 Memorial Medical Parkway, Daytona Beach, FL 32117-5167 | 2009-12-09 |
| 1023153418 | Celeste Nadine Welch | Physician Assistant | 301 Memorial Medical Parkway, Florida Memorial Medical Center, Daytona Beach, FL 32117 | 2007-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790322931 | Gonzalez Medical & Rehabilitation Center LLC. | Clinic/Center | Gonzalez Medical & Rehabilitation Center LLC., 9600 Sw 8th Street Suite 26, Miami, FL 33174 | 2019-12-06 |
| 1942841655 | Eida J Alvarez | Pharmacist | 10332 W. Flager St., Miami, FL 33174 | 2019-10-03 |
| 1477021384 | Greyte Leyva Souto | Nurse Practitioner | 9856 Sw 8th St Apt 211, Miami, FL 33174 | 2018-11-08 |
| 1205322856 | Salome Fraga | Dentist | 9971 W Flagler Street, Suite 220, Miami, FL 33174 | 2018-07-06 |
| 1013425610 | Estuardo Del Peso | Nurse Practitioner | 345 Sw 97th Ct, Miami, FL 33174 | 2018-01-17 |
| 1477079911 | Jocelyn Hernandez | Behavior Technician | 10942 Sw 4st Apt 1, Miami, FL 33174 | 2017-08-16 |
| 1558885608 | Mariela Hernandez | Behavior Technician | 8770 Sw 12 Th St Apt 202, Miami, FL 33174 | 2017-07-31 |
| 1164943130 | Jesus Portal | Behavior Technician | 11262 Sw 7th St, Miami, FL 33174 | 2017-06-29 |
| 1033644877 | Enrique Barreiro | Assistant Behavior Analyst | 10801 Sw 7 St, Apt 2, Miami, FL 33174 | 2017-05-01 |
| 1528503893 | Damaris Quinones | Behavior Technician | 8900 West Flagler, Miami, FL 33174 | 2016-12-22 |
| Find all providers in zip 33174 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881947166 | Richard Wallace Snodgrass | Internal Medicine | 1151 N Halifax Ave, Daytona Beach, FL 32118-3654 | 2012-10-24 |
| 1235423070 | Tabitha Nicole Townsend | Internal Medicine | 303 N Clyde Morris Blvd Roc Bldg-2nd Floor, Halifax Health Center for Oncology, Daytona Beach, FL 32114-2709 | 2011-06-08 |
| 1841524691 | Willie P Potter | Internal Medicine | 647 Orange Ave., Daytona Beach, FL 32114 | 2009-09-28 |
| 1932369212 | Kamal Wahba Boulos | Internal Medicine | 551 National Healthcare Dr, Daytona Beach Va Outpatient Clinic, Daytona Beach, FL 32114-1495 | 2008-06-11 |
| 1760649917 | Tinuade Olusegun | Internal Medicine | 140 S Beach St Ste 402, Daytona Beach, FL 32114-4409 | 2008-05-16 |
| 1508083866 | Anil Suryaprasad | Internal Medicine | 1435 Dunn Ave Ste 101, Daytona Beach, FL 32114-1434 | 2007-04-19 |
| 1235254863 | Dennis Doorneweerd | Internal Medicine | 1133 6th St, Daytona Beach, FL 32117-4142 | 2007-03-20 |
| 1316074701 | Mohammadreza Minouei | Internal Medicine | 303 N. Clyde Morris Blvd, Suite 201, Daytona Beach, FL 32114-2709 | 2007-02-27 |
| 1396837308 | Infectious Diseases of Mid-florida, Pa | Internal Medicine | 104 Lacosta Ln Ste 120, Daytona Beach, FL 32114-8160 | 2006-09-28 |
| 1083723605 | Robert Steven White | Internal Medicine | 601 N Clyde Morris Blvd, Daytona Beach, FL 32114-2321 | 2006-08-29 |
| Find all providers in DAYTONA BEACH | ||||
| City | DAYTONA BEACH |
| Zip Code | 33174 |
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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.