Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | ME147601 | FL |
N | 2084N0400X | Neurologist | 35.097498 | OH |
N | 2084N0400X | Neurologist | 42026 | KY |
N | 2084N0400X | Neurologist | EMC0000655 | MI |
N | 2084V0102X | Vascular Neurology | 35.097498 | OH |
N | 2084V0102X | Vascular Neurology | 37755 | OK |
N | 2084V0102X | Vascular Neurology | DR.0058097 | CO |
NPI | 1104835875 |
---|---|
Provider Name | Dr. Usman Hanif Khan |
First Address | West Palm Beach, FL 33409-1947 |
Second Address | West Palm Beach, FL 33409 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 11/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000627001 | ANTHEM (01) | KY |
109555500 | (05) | FL |
7100067550 | (05) | KY |
I05966 | (02) |