Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 35.074083 | OH |
NPI | 1386768679 |
---|---|
Provider Name | Ahsan M Khan |
First Address | Mount Pleasant, SC 29466-9253 |
Second Address | Charleston, SC 29401-5703 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2007 |
Last Update Date | 02/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35.074083 | MEDICAL LICENSE (01) | OH |
H09581 | (02) |