Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RN0300X | Nephrologist | D53611 | MD |
NPI | 1063402857 |
---|---|
Provider Name | Dr. Kazi S Khan |
First Address | Salisbury, MD 21804-1664 |
Second Address | Salisbury, MD 21804-1664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/10/2005 |
Last Update Date | 19/12/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
846200300 | (05) | MD |
D0053611 | (02) | MD |