Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dastagir a Khan MD PA

Organization Internal Medicine Physician · NPI 1790996288

Dastagir a Khan MD PA is an Internal Medicine Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 Prudential Dr
Jacksonville, FL 32207-8202
Phone: (904) 955-7190
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence ME82073 (FL)

Record details

NPI number1790996288
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dastagir Khan — Owner · (904) 955-7190
NPI enumeratedMay 25, 2007
Last updated in NPPESJune 3, 2011
Mailing address207 Barony Dr, Jacksonville, FL 32225-6119

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