Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 60648259 | WA |
N | 111NI0900X | Internist | 60648259 | WA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 60648259 | WA |
Y | 207RC0000X | Internist - Cardiovascular Disease | 60648259 | WA |
NPI | 1558504787 |
---|---|
Provider Name | Amir Khan Durrani |
First Address | Tacoma, WA 98405-4265 |
Second Address | Tacoma, WA 98405-4265 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/04/2009 |
Last Update Date | 14/06/2021 |