Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 40516 | AZ |
N | 111NI0900X | Internist | 40516 | AZ |
N | 207RC0200X | Critical Care Medicine | 01052867 | IN |
Y | 207RC0200X | Critical Care Medicine | 40516 | AZ |
NPI | 1043205297 |
---|---|
Provider Name | Dr. Abrar U Khan |
First Address | Glendale, AZ 85306 |
Second Address | Glendale, AZ 85306 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2005 |
Last Update Date | 21/10/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200373430 | (05) | IN |
H42266 | (02) | IN |