Provider Demographics
NPI:1962584078
Name:KHAN, ZAFAR M (MD)
Entity type:Individual
Prefix:DR
First Name:ZAFAR
Middle Name:M
Last Name:KHAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:12300 ALT A1A
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33410-2205
Mailing Address - Country:US
Mailing Address - Phone:561-691-5667
Mailing Address - Fax:561-691-5669
Practice Address - Street 1:12300 ALT. A1A
Practice Address - Street 2:SUITE 204
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-8361
Practice Address - Country:US
Practice Address - Phone:561-691-5667
Practice Address - Fax:561-691-5669
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 75793207ZD0900X, 207ZD0900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZD0900XAllopathic & Osteopathic PhysiciansPathologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2007-14869OtherOCCUPATIONAL LICENSE
FL265144100Medicaid
51447OtherBCBS
FL51447AMedicare Oscar/Certification
51447OtherBCBS