Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 122300000X | Dentist | 9352 | KY |
N | 1223D0001X | Dental Public Health | 9352 | KY |
Y | 1223G0001X | General Practice | 9352 | KY |
Y | 213EG0000X | General Practice | 9352 | KY |
NPI | 1306166319 |
---|---|
Provider Name | Dr. Zainab Munawer Khan |
First Address | Carol Stream, IL 60188-1393 |
Second Address | Louisville, KY 40243-1487 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2010 |
Last Update Date | 10/07/2014 |