Provider Demographics
NPI:1093530313
Name:KHAN, SANEELA ASHRAF (MSGC)
Entity type:Individual
Prefix:
First Name:SANEELA
Middle Name:ASHRAF
Last Name:KHAN
Suffix:
Gender:F
Credentials:MSGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8925 COLONIAL CENTER DR BLDG A
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-7813
Mailing Address - Country:US
Mailing Address - Phone:239-343-9545
Mailing Address - Fax:239-343-4268
Practice Address - Street 1:8925 COLONIAL CENTER DR BLDG A
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7813
Practice Address - Country:US
Practice Address - Phone:239-343-9545
Practice Address - Fax:239-343-4268
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTGC798170300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS