Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 90106 | OH |
NPI | 1396825246 |
---|---|
Provider Name | Dr. Asif Iqbal Khan |
First Address | Youngstown, OH 44505-1836 |
Second Address | Youngstown, OH 44505-1836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/10/2006 |
Last Update Date | 17/09/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2767475 | (05) | OH |