Khan, Asif
Khan, Asif is an individual health care provider with primary practice located at 102B 23Rd Ave Se # B , Puyallup WA 98372-4527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Khan, Asif can be contacted via phone (253) 200-0300.Contact Information
Primary practice address
102B 23Rd Ave Se # B
Puyallup WA 98372-4527
Phone: (253) 200-0300
Fax: (253) 320-2095
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD00044522 | Washington |
Profile Details
| NPI number | 1821044520 |
|---|---|
| LBN Legal business name | Khan, Asif |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Sep 3rd, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821044520 | NPPES |
| Washington | Other | 0195278 | L & I PROVIDER NUMBER |
| Washington | Other | 98390A019 | L & I PROVIDER NUMBER |
| Washington | Other | 9865KA | L & I PROVIDER NUMBER |
| Washington | MEDICAID | 8421091 | L & I PROVIDER NUMBER |
| Washington | Other | 911203494BZ | L & I PROVIDER NUMBER |
| Washington | Other | 0251533 | L & I PROVIDER NUMBER |
| Washington | Other | 7386691 | L & I PROVIDER NUMBER |
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