MEDICARE: MR. KHALID LATIF KHAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207W00000X	Ophthalmology Physician	00006890	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	510-43391	OTHER	AL	BCBS

General Provider Information

NPI Number	:	1538168810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. KHALID LATIF KHAN MD

Provider Business Mailing Address
First Line	:	216 BATTLE ST E
Second Line	:	STE A
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2420
Country	:	US
Telephone Number	:	256-362-1590
Fax Number	:	256-362-1540

Provider Business Practice Location Address
First Line	:	216 BATTLE ST E
Second Line	:	STE A
City	:	TALLADEGA
State	:	AL
Zip	:	35160-2420
Country	:	US
Telephone Number	:	256-362-1590
Fax Number	:	256-362-1540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	09/20/2010

Similar Medicare Providers

1811097462 — FAZAL RAHIM M.D.
Practice Location Address:

200 BATTLE ST E
TALLADEGA, AL
35160-2420

Practice Phone: 256-362-9677
Practice Fax: 256-362-9676

1235281536 — TALLADEGA OPTICAL DISPENSARY LLC
Practice Location Address:

216 BATTLE ST E
TALLADEGA, AL
35160-2420

Practice Phone: 256-761-1889
Practice Fax: 256-362-1540

1881747558 — KHALID L KHAN, M.D., P.C.
Practice Location Address:

216 BATTLE ST E , SUITE A
TALLADEGA, AL
35160-2420

Practice Phone: 256-362-1590
Practice Fax: 256-362-1540

1437384732 — TRI-CITY NEUROLOGY
Practice Location Address:

200 BATTLE ST E
TALLADEGA, AL
35160-2420

Practice Phone: 256-493-0349
Practice Fax:

1316269236 — DEBBIE BRADY DUKES LCSW
Practice Location Address:

200 BATTLE ST E
TALLADEGA, AL
35160-2420

Practice Phone: 256-362-9677
Practice Fax:

1932443868 — ANGELA M. MARTIN
Practice Location Address:

200 BATTLE ST E , SUITE B
TALLADEGA, AL
35160-2420

Practice Phone: 256-368-9800
Practice Fax: 256-237-8400

Directions to “ MR. KHALID LATIF KHAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.