Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | D0061462 | MD |
NPI | 1033186531 |
---|---|
Provider Name | Dr. Irfan Ahsan Khan |
First Address | Greenbelt, MD 20770-3514 |
Second Address | Greenbelt, MD 20770-3514 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2006 |
Last Update Date | 03/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I08075 | (02) |