Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204F00000X | Transplant Surgeon | P36462 | NY |
N | 208200000X | Surgeon | P36462 | NY |
N | 208600000X | Surgeon | P36462 | NY |
NPI | 1558337873 |
---|---|
Provider Name | Iftikhar Khan |
First Address | New York, NY 10029-6574 |
Second Address | New York, NY 10029-6574 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
I19401 | (02) |