Khan, Nickalus R

Khan, Nickalus R is an sole proprietor health care provider with primary practice located at 6325 Humphreys Blvd , Memphis TN 38120-2300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Khan, Nickalus R can be contacted via phone (901) 522-7700.

Contact Information

Primary practice address
6325 Humphreys Blvd Memphis TN 38120-2300
Phone: (901) 522-7700
Fax: (901) 522-2600
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 28973 Mississippi
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 62016 Tennessee
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X E-20127 Arkansas

Profile Details

NPI number 1386987899
LBN Legal business name Khan, Nickalus R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2013
Last updated Jul 15th, 2026 - about 4 months 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386987899 NPPES
Mississippi MEDICAID 000533231
Mississippi MEDICAID 289959001
Mississippi MEDICAID Q043693

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