Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 35047182 | OH |
Y | 208600000X | Surgeon | 35047182 | OH |
N | 2086S0120X | Pediatric Surgery | 35047182 | OH |
NPI | 1518961432 |
---|---|
Provider Name | Dr. Abid H Khan |
First Address | Toledo, OH 43614-2426 |
Second Address | Toledo, OH 43614-2595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/06/2005 |
Last Update Date | 25/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0642344 | (05) | OH |
C02629 | (02) |