Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 35.097746 | OH |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | A100291 | CA |
NPI | 1083816193 |
---|---|
Provider Name | Dr. Safdar N Khan |
First Address | Columbus, OH 43202-1559 |
Second Address | Columbus, OH 43203-1278 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2007 |
Last Update Date | 01/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0053386 | (05) | OH |