OrganizationActive
Gohar S. Khan, M.D., P,A.
NPI 1083985873 · Family Medicine Physician · South Daytona, FL
Provider details
- NPI number
- 1083985873
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dede Siebenaler, Office Manager(386) 767-9000
- License
- ME0029698 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 Beville Rd
South Daytona, FL 32119-1705
Phone: (386) 767-9000
Fax: (386) 767-3761
Street-level locationGet directions
Mailing address
905 Beville Rd
South Daytona, FL 32119-1705
Registry dates
- Enumerated
- 2012-01-25
- Last updated
- 2012-01-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.