Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 9701816 | NC |
N | 111NI0900X | Internist | 9701816 | NC |
N | 207RC0000X | Internist - Cardiovascular Disease | 9701816 | NC |
NPI | 1003878901 |
---|---|
Provider Name | Dr. Khalid Altaf Mian |
First Address | Salisbury, NC 28144-2515 |
Second Address | Salisbury, NC 28144-2515 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 08/07/2007 |