Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 242139 | MA |
Y | 207T00000X | Neurosurgeon | 29010 | WV |
NPI | 1023337961 |
---|---|
Provider Name | Dr. Sajeel Rehmat Khan |
First Address | Ona, WV 25545-9587 |
Second Address | Huntington, WV 25701-3655 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/05/2010 |
Last Update Date | 17/11/2021 |