Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 04-28779 | KS |
NPI | 1013003425 |
---|---|
Provider Name | Qamar J Khan |
First Address | Westwood, KS 66205-2005 |
Second Address | Westwood, KS 66205-2005 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 28/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100369040A | (05) | KS |
205144801 | (05) | MO |
27824046 | BCBS KC (01) | MO |
406120 | FIRSTGUARD (01) | KS |
G58332 | (02) |