Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 27320 | OK |
NPI | 1073504684 |
---|---|
Provider Name | Muneer Ahmad Khan |
First Address | Oklahoma City, OK 73134-1702 |
Second Address | Oklahoma City, OK 73134-1702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 29/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
51532859 | (05) | NM |