Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 3635 | NV |
Y | 208600000X | Surgeon | 3635 | NV |
NPI | 1013350222 |
---|---|
Provider Name | Dr. Ikram U Khan |
First Address | Las Vegas, NV 89109 |
Second Address | Las Vegas, NV 89109-2218 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2013 |
Last Update Date | 08/04/2013 |