Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 35.075193 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 35075193 | OH |
NPI | 1124010558 |
---|---|
Provider Name | Nadeem Khan |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2005 |
Last Update Date | 08/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2072064 | (05) | OH |
64962335 | (05) | KY |
6700045000 | (05) | WV |
F07302 | (02) |