Provider Demographics
NPI:1053512343
Name:KHAN-GHANY, ALINA (MD)
Entity type:Individual
Prefix:DR
First Name:ALINA
Middle Name:
Last Name:KHAN-GHANY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ALINA
Other - Middle Name:
Other - Last Name:KHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1000 PARK CENTER BOULEVARD
Mailing Address - Street 2:SUITE 136
Mailing Address - City:MIAMI GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33169
Mailing Address - Country:US
Mailing Address - Phone:305-653-1770
Mailing Address - Fax:
Practice Address - Street 1:20801 NW 2ND AVENUE
Practice Address - Street 2:
Practice Address - City:MIAMI GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33169
Practice Address - Country:US
Practice Address - Phone:305-653-1770
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 101256207RE0101X
FLME101256207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism