Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 38480 | OK |
Y | 207RC0000X | Internist - Cardiovascular Disease | 51848 | FL |
N | 207RC0000X | Internist - Cardiovascular Disease | MED-PHYS-LIC-100924 | MT |
NPI | 1528474020 |
---|---|
Provider Name | Fatima Khan |
First Address | Miami, FL 33130-1661 |
Second Address | Billings, MT 59101-7502 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2014 |
Last Update Date | 16/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
XXXX | ST VINCENT HOSPITAL (01) | MT |