Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | 22676 | OK |
NPI | 1043287089 |
---|---|
Provider Name | Tehseen Khan |
First Address | Oklahoma City, OK 73126-8986 |
Second Address | Oklahoma City, OK 73102-1070 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 18/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H92773 | (02) | OK |