Khan, Tayyab Wahab

Khan, Tayyab Wahab is an individual health care provider with primary practice located at 301 W Homer St , Michigan City IN 46360-4358. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Khan, Tayyab Wahab can be contacted via phone (219) 879-8511.

Contact Information

Primary practice address
301 W Homer St Michigan City IN 46360-4358
Phone: (219) 879-8511
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 036.134771 Illinois

Profile Details

NPI number 1700176955
LBN Legal business name Khan, Tayyab Wahab
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2011
Last updated Oct 22nd, 2018 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700176955 NPPES
Other 207L00000X NPPES

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