Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 30-024373 | OH |
NPI | 1073755187 |
---|---|
Provider Name | Dr. Khurram Ashraf Khan |
First Address | Cincinnati, OH 45255-2438 |
Second Address | Cincinnati, OH 45255-2438 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/04/2009 |
Last Update Date | 27/06/2019 |