Khan, Khalid A
Khan, Khalid A is an sole proprietor health care provider with primary practice located at 3200 Medical Park Dr , Shawnee OK 74804-5014. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Khan, Khalid A can be contacted via phone (405) 878-9490.Contact Information
Primary practice address
3200 Medical Park Dr
Shawnee OK 74804-5014
Phone: (405) 878-9490
Fax: (405) 878-9492
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 19113 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 19113 | Oklahoma |
| Allopathic & Osteopathic Physicians / Pain Medicine | 208VP0000X | 19113 | Oklahoma |
Profile Details
| NPI number | 1306814777 |
|---|---|
| LBN Legal business name | Khan, Khalid A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Mar 14th, 2014 - about 12 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 | 1306814777 | NPPES |
| Oklahoma | Other | P00474293 | MEDICARE RR |
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