Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 026569 | LA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 27364 | OK |
NPI | 1053520080 |
---|---|
Provider Name | Zeeshaan Khan |
First Address | Tulsa, OK 74133-7546 |
Second Address | Tulsa, OK 74136-6836 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2007 |
Last Update Date | 13/12/2017 |