Dastagir a Khan MD PA
NPI 1790996288 · Internal Medicine Physician · Jacksonville, FL
Dastagir a Khan MD PA is a Internal Medicine Physician organization in Jacksonville, FL (NPI 1790996288).
Provider details
- NPI number
- 1790996288
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Dastagir Khan, Owner(904) 955-7190
- License
- ME82073 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
Mailing address
Registry dates
- Enumerated
- 2007-05-25
- Last updated
- 2011-06-03
Frequently asked questions
- What is Dastagir a Khan MD PA's NPI number?
- Dastagir a Khan MD PA's National Provider Identifier (NPI) is 1790996288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dastagir a Khan MD PA?
- Dastagir a Khan MD PA is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Dastagir a Khan MD PA located?
- Dastagir a Khan MD PA's practice location on file with NPPES is 800 Prudential Dr, Jacksonville, FL 32207-8202.
- What is Dastagir a Khan MD PA's phone number?
- The practice phone number listed in the NPPES registry for Dastagir a Khan MD PA is (904) 955-7190.
- Who is the authorized official for Dastagir a Khan MD PA?
- The authorized official listed on Dastagir a Khan MD PA's NPPES record is Dastagir Khan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dastagir a Khan MD PA's NPI active?
- Yes — Dastagir a Khan MD PA's NPI (1790996288) is active in the NPPES registry as of the last update on 2011-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.