Mandarin Ob-Gyn PA
Obstetrics & Gynecology in Jacksonville, FL. Organization (NPI-2).
NPI number1407956972
StatusActive
Last updated in NPPESJan 5, 2018
Details
- NPI
- 1407956972
- Entity type
- Organization (NPI-2)
- Legal business name
- Mandarin Ob-Gyn PA
- Organization subpart
- No
- Enumeration date
- Sep 25, 2006
- Last updated
- Jan 5, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | ME77915 | FL | Yes |
Practice location
13241 Bartram Park Blvd Unit 1309Jacksonville, FL 32258-5229
Phone 904-288-6910 · Fax 904-288-6916
Mailing address
13241 Bartram Park Blvd Unit 1309Jacksonville, FL 32258-5229
Phone 904-288-6910 · Fax 904-288-6916
Authorized official
Ghulam Quadir Khan
President
9042886910
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