Healthcare Provider Details

I. General information

NPI: 1619819976
Provider Name (Legal Business Name): ARIYAN KHAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 WERNER STREET
HOT SPRINGS AR
71913
US

IV. Provider business mailing address

10-1-12/44 SRT 61, A C GUARDS, KHAIRATABAD
HYDERABAD TELENGANA
500004
IN

V. Phone/Fax

Practice location:
  • Phone: 501-622-2175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: