Provider Demographics
NPI:1063625119
Name:ZAMAN KHAN, MUHAMMAD AAMER (MD)
Entity type:Individual
Prefix:
First Name:MUHAMMAD
Middle Name:AAMER
Last Name:ZAMAN KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11407
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-1431
Mailing Address - Country:US
Mailing Address - Phone:361-572-0333
Mailing Address - Fax:361-703-5101
Practice Address - Street 1:801 E 6TH ST
Practice Address - Street 2:STE 302
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-3699
Practice Address - Country:US
Practice Address - Phone:850-770-3030
Practice Address - Fax:850-770-3035
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2018-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME1171222084N0400X
TXM64722084N0400X, 208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXM6472OtherPHYSICIAN PERMIT
FL010394400Medicaid