Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 27915 | AZ |
NPI | 1013987072 |
---|---|
Provider Name | Dr. Habib U Khan |
First Address | Casa Grande, AZ 85230-1225 |
Second Address | Casa Grande, AZ 85222-2023 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 16/04/2020 |