Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Ateeque R. Khan, MD

Individual provider Internal Medicine Physician · NPI 1487689808

Dr. Ateeque R. Khan, MD is an Internal Medicine in Jacksonville, Florida. Qualified in 1991, 35 years ago. Accepts Medicare assignment. Licensed in Florida and New York.

Years since qualifying
35
Licensed in
FL, NY
In the registry since
2006
Specialties on file
2
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

4466 Swilcan Bridge Ln N
Jacksonville, FL 32224-5617
Phone: (904) 599-3225
Fax: (904) 821-8050
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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 ME97554 (FL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 222724 (NY)

Record details

NPI number1487689808
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2006
Last updated in NPPESAugust 2, 2021
Certification dateAugust 2, 2021

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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