Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 321735 | LA |
NPI | 1023211760 |
---|---|
Provider Name | Pervez Ahmad Khan |
First Address | New Orleans, LA 70112-2807 |
Second Address | New Orleans, LA 70112-2600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 02/02/2021 |