Active NPI
Zafar M Khan, M.D.
- Dermatopathology (Pathology) Physician
- Palm Beach Gardens, FL
National Provider Identifier
1962584078
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatopathology (Pathology) Physician
- License
- ME 75793
- Practice address
- 12300 Alt. A1A
Suite 204
Palm Beach Gardens, FL 33410-8361 - Phone
- (561) 691-5667
- Fax
- (561) 691-5669
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatopathology (Pathology) Physician | 207ZD0900X | ME 75793 | FL | Primary |
Addresses
Primary practice location
12300 Alt. A1A
Suite 204
Palm Beach Gardens, FL 33410-8361
Mailing address
12300 Alt A1A
Suite 204
Palm Beach Gardens, FL 33410-2205
Phone (561) 691-5667
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2007-14869 | Other | FL | OCCUPATIONAL LICENSE |
| 265144100 | Medicaid | FL | |
| 51447 | Other | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040910000727 | FL | Practitioner - Pathology | 9335116391 | Practice locations: Palm Beach Gardens, FL |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME 75793 | FL | MD | Dermatopathology (Pathology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach Gardens Regional Surgery Center LLC | Past | Accepting new patients | |
| Laboratory Corporation of America | Past | Accepting new patients | |
| Mid-Florida Pathology LLC | Dermatopathology | Past | Accepting new patients |
| Ameripath Florida LLC | Past | Accepting new patients | |
| Ameripath Florida LLC | Past | Accepting new patients |
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Pompano Beach, FL
- NPI 1952381477
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1962254987
-
- Clinical Medical Laboratory
- Tampa, FL
- NPI 1255314704
-
- Anatomic Pathology & Clinical Pathology Physician
- Eustis, FL
- NPI 1265798870
Dermatopathology
-
- Ambulatory Surgical Clinic/Center
- Palm Beach Gardens, FL
- NPI 1003205196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1962584078",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12300 ALT A1A",
"address_2": "SUITE 204",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334102205",
"telephone_number": "561-691-5667",
"fax_number": "561-691-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12300 ALT. A1A",
"address_2": "SUITE 204",
"city": "PALM BEACH GARDENS",
"state": "FL",
"postal_code": "334108361",
"telephone_number": "561-691-5667",
"fax_number": "561-691-5669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAN",
"first_name": "ZAFAR",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "FL",
"license": "ME 75793",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL LICENSE",
"identifier": "2007-14869",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "265144100",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "51447",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Beach Gardens, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.