Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 04-35435 | KS |
NPI | 1346463825 |
---|---|
Provider Name | Bilal Qamar Khan |
First Address | Topeka, KS 66606-1670 |
Second Address | Topeka, KS 66606 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/04/2007 |
Last Update Date | 12/05/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200962190C | (05) | KS |