Healthcare Provider Details

I. General information

NPI: 1831521764
Provider Name (Legal Business Name): MALIK MUHAMMAD KHURRAM SHER KHAN M.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/02/2013
Last Update Date: 06/27/2022
Certification Date: 04/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK HEALTHCARE-ICU 800 ROSE ST
LEXINGTON KY
40536-0293
US

IV. Provider business mailing address

740 S LIMESTONE L543
LEXINGTON KY
40536-0001
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-9057
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number35.127861
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4301103185
License Number StateMI
# 3
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number52293
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: