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

Mariam Khan

Individual provider Pediatrics Physician · NPI 1528677085

Mariam Khan is a Pediatrics Physician in Orlando, Florida. Practices as a sole proprietor. Licensed in Florida and New Jersey.

Licensed in
FL, NJ
In the registry since
2020
Specialties on file
2

Practice location Address checks out

19108 E Colonial Dr
Orlando, FL 32820-3701
Phone: (407) 905-8827
Fax: (407) 660-1667
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence ME154297 (FL)
Pediatrics Physician Taxonomy 208000000X · Licence 25MA07432300 (NJ)

Record details

NPI number1528677085
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2020
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address110 S Woodland St, Winter Garden, FL 34787-3546

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