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

Ayesha Anwar Khan, MD

Individual provider Nephrology Physician · NPI 1093291627

Ayesha Anwar Khan, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 2009, 17 years ago. Practices with Peachtree Nephrology PC, a 6-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida, Georgia and Ohio.

Years since qualifying
17
Licensed in
FL, GA, OH
In the registry since
2018
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 96805 (GA)
Nephrology Physician Taxonomy 207RN0300X · Licence ME148584 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 57.245803 (OH)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME148584 (FL)
Nephrology Physician Taxonomy 207RN0300X · Licence 96805 (GA)

Record details

NPI number1093291627
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 17, 2018
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Peachtree Nephrology Pc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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